disorders of chest wall - trauma, pectus excavatum, pleurisy Flashcards

1
Q

what can trauma to the thoracic wall lead to

A
  • pneumothorax

- haemothorax

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2
Q

what can cause rib fractures

A
  • trauma
  • coughing
  • patients with osteoporosis
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3
Q

what can inadequate chest expansion and coughing lead to

A

pneumonia

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4
Q

what is treatment of trauma

A

adequate oral analgesia

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5
Q

what can 2 fractures in one rib lead to

A

flail segment

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6
Q

what is surgical emphysema caused by

A

air leaking into subcutaneous connective tissue

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7
Q

what does rupture of oesophagus lead to

A

mediastinitis

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8
Q

what causes widespread fluffy shadows on chest x-ray

A

lung contusion

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9
Q

what causes kyphoscoliosis

A

diseases of vertebrae such as TB or osteomalacia
or
neuromuscular disease such as Friedreich’s ataxia

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10
Q

what is pectus excavatum

A

deep vertical furrow in the chest

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11
Q

how is pectus excavatum treated

A

surgery

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12
Q

what is pleurisy

A

pain arising from any disease of the pleura

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13
Q

what does localised inflammation produce

A
  • sharp localised pain which is worse on deep inspiration

- coughing

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14
Q

what are causes of pleurisy

A
  • pneumonia
  • pulmonary infarct
  • carcinoma

rare:

  • rheumatoid arthritis
  • systemic lupus eryhtematosus
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15
Q

what is chylothorax

A

accumulation of lymph in the pleural space

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16
Q

what causes chylothorax

A

from leakage from the thoracic duct following trauma or infiltration by carcinoma

17
Q

what is empyema

A

presence of pus in the pleural space

18
Q

what causes empyema

A

pneumonia