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Ch. 2 - Respiratory > Thoracic Surgery > Flashcards

Thoracic Surgery Flashcards

1
Q
A
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2
Q

What is a pneumothorax?

A
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3
Q

List the 3 types of pneumothorax

A

primary spontaneous
secondary spontaneous
traumatic/ emergency

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4
Q

What is a primary spontaneous pneumothorax?
Describe the common patient population who would get this type.
Which parts of the lung are usually affected?
What is the definitive cause and treatment?

A
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5
Q

How would a patient with a primary spontaneous pneumothorax present?

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6
Q

How would you investigate a patient with a primary spontaneous pneumothorax?

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7
Q

What are the complications of a primary spontaneous pneumothorax?

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8
Q

What is a bullectomy?

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9
Q

what is pleurodesis?

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10
Q

Where is needle aspiration done? What size of needle is used?
What about a chest drain?

A

2nd ICS MCL with a 14G needle
4-5 ICS, MAL

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11
Q

How would you manage a simple small and large primary spontaneous pneumothorax?

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12
Q

You have performed a needle aspiration of a pneumothorax however the patient’s condition has not changed and the pneumothorax is still present. What would you do next?

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13
Q

How would you manage a tension primary spontaneous pneumothorax?

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14
Q

How would you manage a primary spontaneous pneumothorax surgically?

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15
Q

How would you manage a primary spontaneous pneumothorax?

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16
Q

What is a secondary spontaneous pneumothorax and what are some causes?

A
17
Q

A traumatic Pneumothorax is typically iatrogenic or traumatic. This trauma may lead to 2 types of injury/ pneumothorax.
What are they?
What are the typical mechanisms of injury that cause each type of traumatic pneumothorax?

A
18
Q

Your patient was shot in the chest. You notice the pneumothorax expanding.
Why did this occur?

A
19
Q

What is the management of a tension pneumothorax?

A
20
Q

What is the management of an open pneumothorax?

A
21
Q

What are the borders of the triangle of safety?

A
22
Q

Why is chest drain inserted above the ribs?

A
23
Q

A chest drain should never be lifted above the level of the bed. Why?

A

to prevent backflow into the pleural space

24
Q

Describe the process of a chest drain insertion.

A
25
Q

How would you confirm that a chest tube is in the right place?

A
26
Q

If a patient is considered for a lung transplant, what part of the management of pleural diseases would contra-indicate the patient for transplant?

A

VATS Pleurodesis

27
Q

What are 2 ways of performing a pleurodesis?

A
28
Q

How would you surgically manage an empyema?

A

VAT decortication of empyema

29
Q

A patient post pleurodesis has developed post-op pyrexia. Is this a concerning finding? What does it indicate?

A

Ch. 2 - Respiratory (13 decks)

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