5. Pneumothorax Flashcards by Ian Paglione

Q

(PTX)

Einteilung (2)

A

Spontanpneumothorax
Spannungspneumothorax

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Q

(PTX)

Spontanpneumothorax: Formen

A

primärer (PSP)
sekundärer (SSP)

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Q

(PTX)

Hauptrisikofaktor

A

Rauchen

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Q

(PTX)

Leitsymptome (3)

A

atemabhängiger Thoraxschmerz
Tachykardie
Dyspnoe

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Q

(PTX)

Lungenuntersuchung: Schritte (4)

A

Inspektion
Perkussion
Palpation
Auskultation

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Q

(PTX)

Befund bei der Perkussion

A

hypersonorer Klopfschall

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Q

(PTX)

Befund bei der Palpation

A

fehlender Stimmfremitus

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Q

(PTX)

Befund bei der Auskultation

A

fehlendes Atemgeräusch

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Q

(PTX)

Bildgebung der Wahl

A

Röntgen-Thorax

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Q

(PTX)

Röntgen-Thorax: Durchführung

A

p.a. im Stehen und in Inspiration

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Q

(PTX)

Röntgen-Thorax: Befunde (2)

A

Pneulinie
Transparenzsprung

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Q

(PTX)

Bildgebung der 2. Wahl

A

CT-Thorax

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Q

(PTX)

Erstmaßnahmen (2)

A

Öberkörper hochlagern
Sauerstoff geben

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Q

(PTX)

Therapieentscheidung (2)

A

konservative
interventionelle

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Q

(PTX)

konservative Therapie

A

symptomatische

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Q

(PTX)

konservative Therapie: Indikation

A

nur bei primärem PTX zu erwägen

Q

(PTX)

interventionelle Therapie der Wahl

A

Thoraxdrainage

Q

(PTX)

Thoraxdrainage: Standardzugang

A

Bülau-Position

Q

(PTX)

Bülau-Position

A

4.-5. ICR zwischen vorderer und mittlerer Axillarlinie

(safe Triangle)

Q

(PTX)

Thoraxdrainage: alternativer Zugang

A

Monaldi-Position

Q

(PTX)

Monaldi-Position

A

ICR in der Medioklavikularlinie

Q

(PTX)

interventionelle Therapie der 2. Wahl

A

operative

Q

(PTX)

operative Therapie: Standardzugang

A

videoassistierte Thorakoskopie (VATS)

Q

(PTX)

operative Therapie: alternativer zugang

A

offene Thorakotomie