Pneumothorax Flashcards
1
Q
What is a pneumothorax?
A
Air in pleural cavity
2
Q
What is a primary pneumothorax?
A
Spontaneous, no pre-existing lung disease
3
Q
What is a secondary pneumothorax?
A
Pre-existing lung disease
4
Q
How does a pneumothorax present?
A
SOB
Chest pain
Decreased breath sounds
Lack of movement on affected side
5
Q
What investigations are done?
A
CXR
Chest ultrasound
Chest CT
6
Q
What is the management of a small pneumothorax?
A
Minimal symptoms
Can be managed at home
Follow up needed
7
Q
What is the management of a symptomatic pneumothorax?
A
Aspirate
Small bore/large bore chest drain
8
Q
What are the indications for chest drain?
A
Tension pneumothorax after initial needle decompression Persistent pneumothorax after aspiration Large secondary pneumothorax > 50 years Symptomatic pneumothorax Failed aspiration
