Pneumothorax 1

Question 1

May be aSx in ? patients with a small pneumothorax, or present with a ? onset of unilateral ? pain, with ? SOB

There may also be few physical signs or..

• reduced ?
• ? resonance to percussion
• ? breath sounds and reduced ? resonance

Answer 1

young
sudden
pleuritic
progressive

expansion
increased
decreased
vocal

Question 2

A tension is suggested by ? ? away from affected side and there may also be signs of ? compromise

Ix
? CXR - look for ? deviation, look for areas devoid of ? ?
? - if signs of resp distress or ? lung disease

Answer 2

tracheal dev
haemodynamic

expiratory
tracheal
lung markings
ABG
chronic

Question 3

Types
Spontaneous pneumothorax
-primary - lung parenchyma otherwise ?, caused by rupture of ? ?, often in ?, ? young men
-secondary - underlying lung disease/abnorm eg COPD, ?, CF, ?, malignancy
Traumatic - ? trauma or ? fractures
Iatrogenic - lung ?, endoscopy, ? cannulation, ? ? ventilation

Answer 3

normal
apical bleb
tall thin
pneumonia
asthma
penetrating
rib
biopsy
subclavian
pos pressure

Question 4

Tension

• air in ? space leading to ? compromise
• thought to be due to a ? ? valve out to pleural space
• the intrapleural pressure is very ?, ? the lung and decreasing venous return to the ?
• suggested by resp distress, ?, ? compromise, distended ? ?, and ? dev

Answer 4

pleural
cardiac
one way
high
deflating
heart
pallor
haemodynamic
neck veins
tracheal

Question 5

Treatment of a Tension

• ?% O2
• insert a ? ? ? into where ?
• CXR, and then insert a ? ?

Answer 5

100
large bore cannula
2nd ICS mid clavicular line
chest drain