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A pulmonary consolidation is a region of normally compressible lung tissue that has filled with liquid instead of air. [1] The condition is marked by induration [ 2 ] (swelling or hardening of normally soft tissue) of a normally aerated lung.
Lobar pneumonia is a form of pneumonia characterized by inflammatory exudate within the intra-alveolar space resulting in consolidation that affects a large and continuous area of the lobe of a lung. [1] [2] It is one of three anatomic classifications of pneumonia (the other being bronchopneumonia and atypical pneumonia).
Bacterial, community-acquired pneumonia classically show lung consolidation of one lung segmental lobe, which is known as lobar pneumonia. [42] However, findings may vary, and other patterns are common in other types of pneumonia. [ 42 ]
Consolidation or infiltrate can be dense or patchy and might have irregular, ill-defined, or hazy borders. Dense homogenous opacity in right, middle and lower lobe of primary pulmonary TB. Chest x-ray showing patchy opacification on the upper right and mid-zone lung with fibrotic shadows, as well as bilateral hilar lymphadenopathy.
The original published definition read as: "Any extended, finely granular pattern of pulmonary opacity within which normal anatomic details are partly obscured; from a fancied resemblance to etched or abraded glass." [23] It was again included in an updated glossary by the Fleischner Society in 2008 with a more detailed definition. [24]
No signs and symptoms of lobar consolidation, [6] [7] meaning that the infection is restricted to small areas, rather than involving a whole lobe. As the disease progresses, however, the look can tend to lobar pneumonia. Absence of leukocytosis. [citation needed] Extrapulmonary symptoms, related to the causing organism. [8]
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Crackles are caused by explosive opening of small airways [7] and are discontinuous, [8] nonmusical, and brief. Crackles are more common during the inspiratory than the expiratory phase of breathing, but they may be heard during the expiratory phase.