Pneumothorax Flashcards
_____ is the presence of gas in the pleural space.
Pneumothorax
A _____ is one that occurs without antecedent trauma to the thorax.
spontaneous pneumothorax
A ________ occurs in the absence of underlying lung disease,
primary spontaneous pneumothorax
A _____results from penetrating or nonpenetrating chest injuries.
traumatic pneumothorax
A ______ is a p horax in which the pressure in the pleural space is positive throughout the respiratory cycle.
tension pneumothorax
A _____ occurs in the presence of underlying disease
secondary pneumothorax
____are usually due to rupture of apical pleural blebs, small cystic spaces that lie within or immediately under the visceral pleura.
Primary spontaneous pneumothoraces
The initial recommended treatment for primary spontaneous pneumothorax is ____
simple aspiration
Most secondary pneumothoraces are due to ____
chronic obstructive pulmonary disease
If the patient is not a good operative candidate or refuses surgery, ____ should be attempted by the intrapleural injection of a sclerosing agent such as ___.
pleurodesis
doxycycline
Traumatic pneumothoraces should be treated with____unless they are very small.
tube thoracostomy
If a hemopneumothorax is present, one chest tube should be placed in the ____ part of the hemithorax to evacuate the air and another should be placed in the _____ part of the hemithorax to remove the blood.
superior
inferior
The leading causes of iatrogenic pneumothorax are _______
Transthoracic needle aspiration
Thoracentesis
Insertion of central intravenous catheters.
[Tension Pneumothorax] A large-bore needle should be inserted into the pleural space through the ____
Second anterior intercostal space
Which of the following conditions is most commonly associated with primary spontaneous pneumothorax?
A. Asthma
B. Chronic obstructive pulmonary disease (COPD)
C. Smoking
D. Pulmonary embolism
C