(BMJ)—A healthy 21-yo man was trapped under his car when the jack gave out. His coworkers removed him after 6min. Exam: vital signs stable; GCS 15; HEENT/upper chest: edema, cyanosis, petechiae, conjunctival hemorrhage. CT of head/chest/abdo: neg. What is the dx?
Carbon monoxide poisoning
Fractures of facial bones
Angioedema
Perthe syndrome
Superior vena cava syndrome
You are correct. Perthe syndrome, or traumatic asphyxia, is a clinical syndrome characterized by cervicofacial cyanosis, petechial hemorrhages on the upper chest and face, and massive hemorrhage in the subconjunctival and periorbital areas. It results from severe, sudden, and transient compression of the chest or upper abdomen w/ complete or partial cessation of respiration for varying periods of time. Tx is rapid decompression of the chest. It is usually harmless; however, in <10% of pts, a prolonged thoracic compression could lead to cerebral anoxia and neurological sequelae.
By vgreene, 19 September, 2016
By vgreene, 19 September, 2016
By vgreene, 19 September, 2016
By vgreene, 19 September, 2016
By vgreene, 19 September, 2016