Tracheobronchopathia osteoplastica
Overview
Tracheobronchopathia osteoplastica: A rare condition where bone or cartilage nodules develop in the walls of the trachea and main bronchi. The condition may stabilize or progress slowly but rarely does it affect airflow to a significant degree
Symptoms
The list of signs and symptoms mentioned in various sources for Tracheobronchopathia osteoplastica includes the 8 symptoms listed below: Tracheal nodules Bronchial nodules Cough Recurring respiratory infections Hemoptysis Hoarseness Wheezing Breathing difficulty Note that Tracheobronchopathia osteoplastica symptoms usually refers to various symptoms known to a patient, but the phrase Tracheobronchopathia osteoplastica signs may refer to those signs only noticable by a doctor.
Causes
Fracture. In addition to bony crepitation, a fracture causes acute local pain, hematoma, edema, and decreased ROM. Other findings may include deformity, point tenderness, discoloration of the limb, and loss of limb function. Neurovascular damage may cause increased capillary refill time, diminished or absent pulses, mottled cyanosis, paresthesia, and decreased sensation (all distal to the fracture site). An open fracture, of course, produces an obvious skin wound. TopOsteoarthritis. In its advanced form, joint crepitation may be elicited during ROM testing. Soft fine crepitus on palpation may indicate roughening of the articular cartilage; coarse grating may indicate badly damaged cartilage. The cardinal symptom of osteoarthritis is joint pain, especially during motion and weight bearing. Other findings include joint stiffness that typically occurs after resting and subsides within a few minutes after the patient begins moving. TopRheumatoid arthritis. In its advanced form, bony crepitation is heard when the affected joint is rotated. However, rheumatoid arthritis usually develops insidiously, producing nonspecific signs and symptoms, such as fatigue, malaise, anorexia, a persistent low-grade fever, weight loss, lymphadenopathy, and vague arthralgia and myalgia. Later, more specific and localized articular signs develop, commonly at the proximal finger joints. These signs usually occur bilaterally and symmetrically and may extend to the wrists, knees, elbows, and ankles. The affected joints stiffen after inactivity. The patient also has increased warmth, swelling, and tenderness of affected joints as well as limited ROM.
Diagnosis
Diagnosis that the esophagus is interrupted is confirmed by the inability to insert a nasogastric suction tube into the stomach. The exact type and location of the fistula can be determined using a radiopaque catheter, which allows pictures to be taken of the esophagus. X rays may show air in the bowels. Endoscopy often fails to located the fistula if it is small.