Pneumothorax

Question 1

23 y.o. Male h/o cocaine use presents to ED with dyspnea and chest pain. Previous CT can had shown subpleural blend and bullae. CXR shows a small to moderate pneumothorax. What is the next step in management?

Answer 1

Aspiration

Question 2

19 y.o. Male presents to ED after car accident, his BP reads 70/30 and oxygen saturation is 84%, no breath sounds are heard in the right hemithorax, what is the next step in management?

Answer 2

Large needle for tension pneumothorax followed by chest tube placement.

Do Not wait for upright chest X-ray results prior to treatment

Question 3

If person has CXR and found to have incidentally small pneumothorax <2cm, what is the next step in management?

Answer 3

Observation and oxygen

Question 4

If a young women w chest pain and dyspnea w h/o LAM. CXR shows a Pneumothorax >2cm, next step in management?

Answer 4

Chest tube

Question 5

After a pneumothorax in a Marfans patient is aspirated, what can be considered?

Answer 5

Pleurodesis

Question 6

When should pleurodesis should be considered in a secondary pneumothorax?

Answer 6

After second pneumothorax