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Flashcards in Pneumothorax Deck (13)
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1

What is a pnewwmothorax?

Air in pleural space

2

What are the types of pneumothorax?

Spontaneous
- Primary
- Secondary

Traumatic
Tension
Iatrogenic

3

What is a primary spontaneous pneumothorax?

Not associated with lung disease

4

What is a secondary spontaneous pneumothorax?

Associated with lung disease
- asthma
- COPD
- TB
- pneumonia

5

What are the symptoms?

Often no symptoms

Dyspnoea
Pleuritic chest pain

6

What are the risk factors for a pneumothorax?

Pre-existing lung disease
Height
Smoking
Diving
Trauma

Connective tissue disorders

7

What are the signs of a pneumothorax on examination?

Reduced expansion
Hyper-resonance
Reduced breath sounds

8

How do you manage a primary pneumothorax?

If symptomatic + >2cm rim of air
- give O2
- aspirate

If unsuccessful, consider reaspiration or chest drain

9

How do you manage a secondary pneumothorax?

Same as primary but lower threshold for ICD

10

Where do you insert a chest drain?

Safe triangle = anterior border of latissimus dorsi, lateral border of pec major, line superior to nipple and apex below axilla

11

What is a tension pneumothorax?

Air drawn into pleural space has no means of escape

12

What are the signs of a tension pneumothorax?

Hypotension
Tachycardia
Deviation of trachea away from pneumothorax
Mediastinal shift

13

How is a tension pneumothorax managed?

Large bore cannula into 2nd ICS midclavicular line