Flashcards in Pneumothorax Deck (11):
Normal pressure within the pleural space?
Causes of pneumothorax?
Blunt/penetrating trauma, primary spontaneous, secondary spontaneous, iatrogenic
What causes a primary spontaneous pneumothorax?
Apical blebs, atmospheric pressure changes, tall/thin individuals
What causes secondary pneumothorax?
Emphysema, CF, granulomatous disease, necrotizing pneumonia, pulm fibrosis, eosinophilic lung disease, sarcoidosis, endometriosis
What causes iatrogenic pneumothorax?
Positive pressure mechanical ventilation, central line insertion, thoracentesis
Symptoms of pneumothorax?
Acute shortness of breath, chest pain (often sharp), anxiety
Physical findings of pneumothorax?
decreased breath sounds on 1 side, +/- tachycardia, +/- low sat, bradycardia, +/- cyanosis, decreased tactile fremitus, subcutaneous emphysema, hyper resonance to percussion
Physical findings for tension pneumothorax?
Deviated trachae, JVD
Treatment for simple pneumothorax?
very small- O2, observe
Small- needle aspiration, flutter valve tube
M to L- thoracostomy tube with suction and water seal
Treatment for tension pneumothorax?
Need to chest in 2nd ICS, thoracostomy tube with suction and water seal