Hamman's sign
{{short description|Abnormal crunching sound heard from the chest area}}
{{Infobox medical condition
|name =
|synonym =
|image =
|image_size =
|alt =
|caption =
|pronounce =
|specialty =
|symptoms =
|complications =
|onset =
|duration =
|types =
|causes =
|risks =
|diagnosis =
|differential = pneumomediastinum
|prevention =
|treatment =
|medication =
|prognosis =
|frequency =
|deaths =
}}
Hamman's sign (rarely, Hammond's sign{{cite book |url=https://books.google.com/books?id=eq7xVgSHqhMC |title=The Pericardium - Google Book Search |access-date=2008-11-26|isbn=9781402076398 |last1=Shabetai |first1=Ralph |date=2003-10-31 |publisher=Springer }} or Hammond's crunch{{cite journal |vauthors=Hadjis T, Palisaitis D, Dontigny L, Allard M |title=Benign pneumopericardium and tamponade |journal=Can J Cardiol |volume=11 |issue=3 |pages=232–4 |date=March 1995 |pmid=7889442 }}) is a medical sign consisting of a crunching, rasping sound, synchronous with the heartbeat,{{DorlandsDict|seven/000097050|Hamman sign}} heard over the precordium in spontaneous mediastinal emphysema. It is thought to result from the heart beating against air-filled tissues.
It is named after Johns Hopkins clinician Louis Hamman, M.D.{{WhoNamedIt|synd|3001}}
This sound is heard best over the left lateral position.{{cite book|last1=McCann]|first1=[executive publisher, Judith A. Shilling|title=Nursing.|date=2008|publisher=Lippincott Williams & Wilkins|location=Ambler, PA|isbn=9781582556680|page=171}} It has been described as a series of precordial crackles that correlate with the heart beat rather than respiration.
Causes
Hamman's crunch is caused by pneumomediastinum or pneumopericardium, and is associated with tracheobronchial injury.
{{
cite journal |vauthors=Chu CP, Chen PP |title=Tracheobronchial injury secondary to blunt chest trauma: Diagnosis and management |journal=Anaesth Intensive Care |volume=30 |issue=2 |pages=145–52 |date=April 2002 |pmid=12002920 |doi= 10.1177/0310057X0203000204
|doi-access=free }}
due to trauma, medical procedures (e.g., bronchoscopy) or rupture of a proximal pulmonary bleb. It can be seen with Boerhaave syndrome.
See also
References
{{reflist|2}}
External links
- [https://archive.today/20130805153827/http://www.texasheartinstitute.org/ProjectHeart/Kids/Listen/Hammans_Sign.cfm Audio of auscultation of Hamman's Sign]
{{Circulatory and respiratory system symptoms and signs}}
{{DEFAULTSORT:Hamman's Sign}}
Category:Symptoms and signs: Respiratory system
{{med-sign-stub}}