Neumotorax Flashcards

1
Q

definicion de neumotorax

A

presencia de aire en el espacio pleural que causa colapso del pulmón, con la correspondiente repercusión en la mecánica respiratoria y hemodinámica del paciente

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2
Q

presion atmosferica

A

760 mmHg

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3
Q

causas de neumotorax

A

ruptura de pleura visceral
ruptura esofágica
lesión de pared toracica
microorganismo

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4
Q

clasificación de acuerdo a la clínica

A

Unilateral y bilateral
Mínimo, moderado y masivo
Normotensivo, hipotensivo e hipertensivo

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5
Q

Presion pleural es de

A

760mmHg

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6
Q

aire que ingresa al espacio intrapleural supera la presion atmosferica

A

torax hipertenso

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7
Q

característica del neumotorax primario

A

presencia de bullas subpleurales en apices pulmonares

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8
Q

causas de neumotorax secundario

A

EPOC, ASMA
TBC, SIDA
fibrosis pulmonar
CA

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9
Q

causas de neumotorax iaotrogenico

A

Fibroscopia
biopsia pleural
toracocentesis

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10
Q

clinica de neumotorax

A

Dolor toracico pleuritico
tos improductiva
hemoptisis

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11
Q

semiologia del neumotorax

A

Hiperimsuflacion
cianosis
ABOLICION DEL MURMULLO VESICULAR
timpanismo
disminucion de vibraciones vocales

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12
Q

maniobra para evaluar la base del pulmon

A

Maniobra de langues

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13
Q

maniobra de rual

A

verificar la expansión a nivel de los ápices pulmonares

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14
Q

Hipoxemia arterial con alcalosis respiratoria

A

neumotorax

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15
Q

causas NE obstructiva

A

EPOC
asma
fibrosis quistica

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16
Q

Causas NE infecciosas

A

TBC
Sida
abscesi de pulmon

17
Q

causas NE por enfermedades pulmonares intersticial

A

sacoidosis
fibrosis pulmonar
histiocitosis X
Linfangioleioiomatosis

18
Q

causas NE neoplasicas

A

CANCER
metastasis sarcomas

19
Q

Cusas NE enfermedades del tejido conectivo

A

Polimiositis
Artritis reumatoide
Dermatomiositis
Espondilitis anquiloisante
Sx de Ehlers Danlos
Esclerodermia
Sx de marfan
Lupus

20
Q

neumotorax cronico

A

el que persiste por mas de 3 meses