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who is at higher risk for pneumothorax? |
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endometriosis in the pleura! don't know how it gets there but it undergoes menstruation causing pneumothorax |
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5 etiologies for pneumothorax: |
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Definition
1. spontaneous 2. infection (acute or chronic) 3. emphysema/asthma 4. cancer 5. catamenial |
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accumulation of pleural pressure with ea breath causes mediastinum to shift |
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define simple pneumothorax: |
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decreased pathology bc the air in the pneumothorax is able to escape and pressure remains sub-atmospheric |
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sudden SOB, dyspnea, sharp pain, tachycardia, |
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Phys Exam findings on pneumothorax: |
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absence of audible breath sounds on affected side, decreased tactile fremitus, hyperresonance to percussion |
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3 signs for tension pneumothorax |
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Definition
1. tachcardia 2. hypotension 3. mediastinal/tracheal shift |
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things that are seen on imaging of pneumothorax: |
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Definition
increased radiotranlucency absence of vascular markings visualization of visceral pleura (white line) |
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what image is DIAGNOSTIC for pneumothorax? |
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visceral pleura seen as thin white line |
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TQ: What is the diagnostic sign of pneumothorax in a supine CXR? |
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EKG may be misinterpreted as an MI in which pneumothorax? |
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Left sided primary pneumothorax |
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Tx for tension pneumothorax: |
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Definition
large bore needle in affected side and tube thoracostomy performed thereafter to relieve pressure |
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what is the Tx for small pneumothorax? |
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Definition
no Tx monitor for progression |
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risk of reoccurence for pneumothorax: |
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