Pneumothorax

Question 1

Essential diagnosis?

Answer 1

Absent or decreased breath sounds

Hyper resonance on percussion

Question 2

What is pneumothorax?

Answer 2

Is the abnormal collection of air within the pleural space

Question 3

Pnemothorax is classied as?

Answer 3

Spontaneous ( primary or secondary)

Traumatic

Question 4

Primary spontaneous pneumothorax occurs in

Answer 4

Patients without clinically apparent lung disease

Question 5

Who are at risk of developing primary/ spontaneous pneumothorax?

Answer 5

Young, tall, men age 20-40 who smoke; thought to occur from rupture of subapical blebs

Question 6

Secondary pneumothorax occurs as a complication of preexisting underlying pulmonary disease such as?

Answer 6

COPD
Pneumonia 
CF
Asthma
TB
Pneumocystis carina pneumonia infection

Question 7

Physical findings of pneumothorax

Answer 7

Pleuritic chest pain
Tachypnea
Tachycardia
Dyspnea

Question 8

In a larger pnemothorax, what are the findings

Answer 8

Diminished breath sounds
Decreased tactile fremitus
Decreased chest movement
Hyper resonance on affected side