Pneumothorax Flashcards
1
Q
Risk factors for spontaneous PTX
A
- CTDs/Marfan’s syndrome (tall, thin, big hands, males)
- previous PTX
- smoking
- weed
- scuba diving, high altitudes, flying
2
Q
Complication of pleural effusion
A
Empyema - pus on aspiration, acidic pH, low glucose = medical emergency
drain + abx
3
Q
Kaplan’s syndrome
A
4
Q
1ry spontaneous ptx
A
5
Q
How does a tension ptx typically present?
A
- reduced expansion, breath sounds
- hyper-resonance, tracheal deviation
- shock (hypotension, tachycardia, hypoxia)
6
Q
Where to put a chest drain?
A
2nd ICS MCL above rib
- triangle of safety
7
Q
2ry spontaneous ptx
A
8
Q
What is the immediate treatment required for management of a tension ptx?
A
Needle thoracocentesis
- decompression by inserting a wide-bore cannula into 2ICS MCL
