Pneumothorax Flashcards Preview

Clinical Medicine- Pulmonary > Pneumothorax > Flashcards

Flashcards in Pneumothorax Deck (11):
1

Normal pressure within the pleural space?

Subatomospheric

2

Causes of pneumothorax?

Blunt/penetrating trauma, primary spontaneous, secondary spontaneous, iatrogenic

3

What causes a primary spontaneous pneumothorax?

Apical blebs, atmospheric pressure changes, tall/thin individuals

4

What causes secondary pneumothorax?

Emphysema, CF, granulomatous disease, necrotizing pneumonia, pulm fibrosis, eosinophilic lung disease, sarcoidosis, endometriosis

5

What causes iatrogenic pneumothorax?

Positive pressure mechanical ventilation, central line insertion, thoracentesis

6

Symptoms of pneumothorax?

Acute shortness of breath, chest pain (often sharp), anxiety

7

Physical findings of pneumothorax?

decreased breath sounds on 1 side, +/- tachycardia, +/- low sat, bradycardia, +/- cyanosis, decreased tactile fremitus, subcutaneous emphysema, hyper resonance to percussion

8

Physical findings for tension pneumothorax?

Deviated trachae, JVD

9

Treatment for simple pneumothorax?

very small- O2, observe
Small- needle aspiration, flutter valve tube
M to L- thoracostomy tube with suction and water seal

10

Treatment for tension pneumothorax?

Need to chest in 2nd ICS, thoracostomy tube with suction and water seal

11

What test can you order for simple pneumothorax?

CXR, CT, US