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Pneumomediastinum in Adult
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Pneumomediastinum in Adult

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Contributors: Paritosh Prasad MD, Ryan R. Walsh MD, Joshua J. Jarvis MD, Alastair Moore MD
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Synopsis

Pneumomediastinum : Neck pain, Pleuritic chest pain, Subcutaneous emphysema, Dysphagia, Dysphonia, Dyspnea, Dry cough, Stridor
Pneumomediastinum is the presence of air in the mediastinum. It is caused by injury, most often esophageal or intestinal perforation. It is also seen as a result of aggressive bag-valve mask ventilation during resuscitation and intubation as well as a result of barotrauma in intubated patients.

Codes

ICD10CM:
J98.2 – Interstitial emphysema

SNOMEDCT:
16838000 – Mediastinal emphysema

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Best Tests

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Drug Reaction Data

Below is a list of drugs with literature evidence indicating an adverse association with this diagnosis. The list is continually updated through ongoing research and new medication approvals. Click on Citations to sort by number of citations or click on Medication to sort the medications alphabetically.

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References

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Last Updated:04/23/2019
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Pneumomediastinum in Adult
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A medical illustration showing key findings of Pneumomediastinum : Neck pain, Pleuritic chest pain, Subcutaneous emphysema, Dysphagia, Dysphonia, Dyspnea, Dry cough, Stridor
Imaging Studies image of Pneumomediastinum - imageId=6835520. Click to open in gallery. caption: '<span>18 yo male with gradual onset chest pain. No clear precipitating event or trauma. Axial CT image of the chest demonstrates extensive mediastinal air outlining the heart, great vessels (straight white arrow), central bronchi (curved black arrow), and tracking into the neck. Interstitial emphysema is also seen (straight red arrow).</span>'
18 yo male with gradual onset chest pain. No clear precipitating event or trauma. Axial CT image of the chest demonstrates extensive mediastinal air outlining the heart, great vessels (straight white arrow), central bronchi (curved black arrow), and tracking into the neck. Interstitial emphysema is also seen (straight red arrow).

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