[pneumothorax] Flashcards

1
Q
A

thin young men

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2
Q
A

ruptured bullae

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3
Q
A

thin walled balloon-like air sacs

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4
Q
A

bullae rupture resulting in air leak into pleural potential space

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5
Q
A

pleural aspiration/biopsy

subclavian CVP line insertion

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6
Q
A
sarcoidosis 
pneumonia
TB
asthma
COPD
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7
Q
A

Marfan’s

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8
Q
A

young
fit
small pneumothorax

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9
Q
A

dyspnoea

pleuritic chest pain

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10
Q
A

sudden onset

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11
Q
A

reduced breath sounds
hyper-resonance
reduced expansion

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12
Q
A

tension

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13
Q
A

chest drain

i.e. do NOT send for CXR

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14
Q
A

percutaneous liver biopsy

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15
Q
A

increased ventilation pressure

hypoxia

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16
Q
A

CXR

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17
Q
A

if certain this is NOT a tension pneumothorax

18
Q
A

expiratory

19
Q
A

area devoid of lung markings peripheral to the edge of the collapsed lung

20
Q
A

chest drain

21
Q
A

alert surgical team - advice

22
Q
A

air drawn into pleural space

cannot escape

23
Q
A

pushed to the contralateral side

24
Q
A

compression and kinking of great veins

25
Q
A

cardiorespiratory arrest

26
Q
A

spontaneous

27
Q
A

underlying lung pathology

28
Q
A

Rim is >2cm on CXR

Dyspnoea present

29
Q
A

after attempted unsuccessful aspiration

30
Q
A

aspiration

–> chest drain if unsuccessful

31
Q
A

SOB and >50 yrs

rim >2cm on CXR

32
Q
A

if does no meet criteria for chest drain

(SOB and >50 yrs
rim >2cm on CXR)

33
Q
A

large bore (14-16 g) with saline syringe to see bubbles coming out

34
Q
A

2nd intercostal space
mid-clavicular line

(or in the safe triangle)

35
Q
A

lateral border pec major
anterior border of latissimus
line superior to horizontal level of nipple

(triangle tip cut off by axilla)

36
Q
A

no flying

37
Q
A

no flying

38
Q
A

100

39
Q
A

CXR

40
Q
A

emphysematous bullae