4/14/2023 0 Comments Mucous plugBy contrast, vaginal discharge is usually yellow or white. As previously mentioned, the mucus plug is typically clear, but can also appear red, brown, or pink if it mixes with blood in your cervix. You may also be able to tell from some of the following features:Ĭolour. Sometimes it can be a little tricky to tell whether what you see is the mucus plug or just typical vaginal discharge, so ask your midwife if you’re in doubt. There’s also a chance you may not see it at all. You might find some discharge in your underwear, or notice it on the toilet paper after you wipe. Your mucus plug can come out in one blob or in smaller segments. How Do You Know If You’ve Lost Your Mucus Plug? Some mums-to-be see traces or streaks of blood in it. In terms of its colour, it could be clear, or it might have a pink or brownish tint. The mucus plug discharge can be thick and sticky, with a gooey, jelly-like consistency. If the mucus plug mixes with blood from your cervix, it’s sometimes referred to as a bloody show. This helps to stop bacteria and infections from reaching your little one. The authors declare that there are no conflicts of interest regarding the publication of this article.During your pregnancy, the mucus plug forms and creates a barrier to protect your uterus. For the surgeon it is important to distinguish it from pleural effusion to avoid chest tube drain. Mucus plug in central pulmonary bronchus is a pathology that can occur in the elderly with restlessness associated with pulmonary or cardiologic pathology. Bronchoscopy is required to achieve lung expansion. In emergency situation it is the first choice. Treatment with antibiotics, corticosteroids, hydration, and chest physiotherapy often produces improvement. Bronchoscopy with flexible and rigid instruments is diagnostic and resolutive. It has more sensibility and specificity to prove mucus plug. Thoracic CT scan is useful when the doubt exists. It demonstrates complete pulmonary hypodiaphania. Thoracic X-ray is the first diagnostic evaluation. Differential diagnosis is between pleural effusion or pulmonary massive atelectasis. The most urgent clinical features are tachypnea, dyspnea, alteration pressure or frequency, and alteration of PO2 PCO2 in EGA accessory respiratory muscles evidence reduction of pulmonary sound being dull on percussion. If it occludes the main bronchus a complete pulmonary collapse occurs. A sectorial atelectasis appears when the mucus plug occludes a peripheral bronchus. Mucus plug is an accumulation of desquamating mucus cells of bronchus and mucus that make an obstruction in the elderly and in all patients that have lost cough capacity. One month later, chest radiography showed a complete resolution (Figure 4).Ĭhest radiography two months later. The patient’s breathing also improved substantially. The next X-ray showed left lung fully expanded after the plug was removed (Figure 3). Bronchoscopy revealed a large mucous plug completely occluding the left main bronchus. The initial choice of chest tube placement was converted in a bronchoscopy. A thoracic CT scan confirmed the complete lung atelectasis without pleural effusion (Figures 2(a) and 2(b)). It was difficult to differentiate massive pleural effusion. A chest radiography showed opacification of and volume loss in the left lung (Figures 1(a) and 1(b)). Arterial blood gas (ABG) demonstrated respiratory acidosis. Physical examination of chest demonstrated normal tracheal breath sound, asymmetric thoracic movement, absent breath sounds, absent left bronchovascular breath sound, and increased vocal resonance. The interdivisional surgeon of surgery department was called because the patient had increasing shortness of breath and a cough productive of small amounts of yellow sputum, low blood pressure, discolored skin or nails, confusion and extreme tiredness, muscle fatigue, and general weakness. Case ReportĪn 80-year-old man hospitalized in urologic department for BPH with history of hypertension, diabetes mellitus, and severe obstructive pulmonary pathology. It is difficult to recognize and has differential diagnosis with pleural effusion or pneumothorax. In the elderly, it can appear for restless situations such as long postoperative period of bed rest. Mucous plugs occur in a number of pulmonary conditions such as bronchial asthma, pulmonitis, cystic fibrosis, and bronchiectasis and in various types of obstructive pathology. We describe the case of an 80-year-old man that, in postoperative period after a urological intervention, has had a progressive tachypnea and dyspnea during hospitalization for urological problems. Central right or left bronchus mucus plug causes complete pulmonary collapse making it an emergency life-threatening case. Mucous plugs occur in a number of pulmonary conditions.
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