thoracic trauma

Question 1

what are conditions associated with thoracic trauma

Answer 1

pneumothorax, pulmonary contusion, rib fx, hemothorax, diaphragmatic hernia, lung lobe torsion

Question 2

when can a spontaneous pneumothorax occur

Answer 2

ruptured abscess, ruptured tumor, ruptured bulla

Question 3

what percentage of pt do well and resolve without sx with good supportive care after blunt trauma induced pneumothorax

Answer 3

95%

Question 4

what is a tension pneumothorax

Answer 4

rapid accumulation of air in the pleural space that results in positive intrapleural pressure - DANGER

Question 5

how do you tx tension pneumothorax?

Answer 5

thoacentesis, chest tube, O2, cage rest

Question 6

what are the land marks for thoracocentesis

Answer 6

7-10th ICS

Question 7

what modifications can be made when performing a thoracocentesis?

Answer 7

over the needle catheter to prevent lacerating the lung

Question 8

how do you tx pulmonary contusions

Answer 8

don’t stress the animal, O2, rest, abx?, bronchodilators

Question 9

how do you tx hemothorax

Answer 9

treat shock, drain blood, autotransfusion, ID etiology

Question 10

what is flail chest

Answer 10

paradoxical chest wall movement of unstable segment

Question 11

what happens when patient breaths in with flail chest?

Answer 11

thoracic wall collapses

Question 12

what are etiologies of lung lobe torsion?

Answer 12

trauma, deep chested breeds, R middle lung lobe (not firmly affixed), left cranial lung lobe (pugs)

Question 13

what is common viscera found in diaphragmatic hernias

Answer 13

liver, spleen, bowel, stomach, opmentum