[pneumothorax] Flashcards
(40 cards)
1
Q
A
thin young men
2
Q
A
ruptured bullae
3
Q
A
thin walled balloon-like air sacs
4
Q
A
bullae rupture resulting in air leak into pleural potential space
5
Q
A
pleural aspiration/biopsy
subclavian CVP line insertion
6
Q
A
sarcoidosis pneumonia TB asthma COPD
7
Q
A
Marfan’s
8
Q
A
young
fit
small pneumothorax
9
Q
A
dyspnoea
pleuritic chest pain
10
Q
A
sudden onset
11
Q
A
reduced breath sounds
hyper-resonance
reduced expansion
12
Q
A
tension
13
Q
A
chest drain
i.e. do NOT send for CXR
14
Q
A
percutaneous liver biopsy
15
Q
A
increased ventilation pressure
hypoxia
16
Q
A
CXR
17
Q
A
if certain this is NOT a tension pneumothorax
18
Q
A
expiratory
19
Q
A
area devoid of lung markings peripheral to the edge of the collapsed lung
20
Q
A
chest drain
21
Q
A
alert surgical team - advice
22
Q
A
air drawn into pleural space
cannot escape
23
Q
A
pushed to the contralateral side
24
Q
A
compression and kinking of great veins
25
[pneumothorax]: how is death caused in a tension pneumothorax
cardiorespiratory arrest
26
[pneumothorax]: what is a primary pneumothorax
spontaneous
27
[pneumothorax]: what is a secondary pneumothorax
underlying lung pathology
28
[pneumothorax]: Mx: what are the criteria for lung aspiration in primary pneumothorax (2)
Rim is >2cm on CXR
| Dyspnoea present
29
[pneumothorax]: Mx: in a primary pneumothorax when can you insert a chest drain?
after attempted unsuccessful aspiration
30
[pneumothorax]: Mx: what is the 1st line Tx for primary pneumothoraces
aspiration
| --> chest drain if unsuccessful
31
[pneumothorax]: Mx: what are the criteria for chest drain in secondary pneumothoraces (2)
SOB and >50 yrs
| rim >2cm on CXR
32
[pneumothorax]: Mx: when can you aspirate a secondary pneumothorax
if does no meet criteria for chest drain
(SOB and >50 yrs
rim >2cm on CXR)
33
[pneumothorax]: Mx: what size bore needle is inserted
large bore (14-16 g) with saline syringe to see bubbles coming out
34
[pneumothorax]: Mx: where is the needle inserted (3)
2nd intercostal space
mid-clavicular line
(or in the safe triangle)
35
[pneumothorax]: Mx: what are the surface markings for the safe triangle
lateral border pec major
anterior border of latissimus
line superior to horizontal level of nipple
(triangle tip cut off by axilla)
36
[pneumothorax]: what lifestyle advice should you give the patient
no flying
37
[pneumothorax]: what lifestyle advice should you give the patient
no flying
38
[pneumothorax]: Mx: tension pneumothoraces should be given ... % O2
100
39
[pneumothorax]: Mx: how can you confirm that the pneumothorax has resolved
CXR
40
[pneumothorax]: what is the main ∆∆ for a area devoid of lung markings around the lung
emphysematous bullae
