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23 Cards in this Set

  • Front
  • Back
pneumothorax
air in the pleural space causing collapse of the lung
Mediastinum
hollow area located in the middle of the thoracic cavity between the right and left lungs.
visceral pleura
innermost layer and is in contact with the lungs
parietal pleura
the outermost layer in contact with the thoracic wall
flail segment
two or more adjacent ribs that are fractured in two or more places.
move independently of the rest of the rib cage
pulmonary contusion
Blood
bleeding within the lung tissue
disturbance in gas exchange
pulmonary contusion causes
blunt trauma to chest
usually seen with flail chest
pneumothorax
accumulation of air in the pleural cavity causing collapse of a portion of the lung
spontaneous pneumothorax
occurs without an external cause
common among smokers
absent lung sounds in a pneumothorax start where on the collapsing lung
the apex (top of the lung)
gravity will cause the air in the pleural space to move upward
hemothorax
thoracic cavity filled with blood
blunt penetrating trauma open or closed injury
traumatic asphyxia
severe and sudden compression of the thorax causes a rapid increase in the pressure in the chest.
pt usually looks bluish purple
Cardiac contusion
following severe blunt trauma to the chest.
heart is violently compressed.
usually the right ventricle
commotio cordis
sudden cardiac arrest that results from a projectile such as a baseball striking the anterior chest.
pt often young males
pericardial tamponade
bleeding into the tough fibrous sac surrounding the heart (pericardial sac)
usually a penetrating injury to the heart.
breath sounds remain the same
see jugular vein distention
pericardial tamponade s/s
decreased b/p narrow pulse pressure (less than 30mmHg) weak pulses, radial pulses disappearing or diminishing during inhalation
rib injuries
most commonly fractured ribs are the third through the eighth, lateral aspect of the chest
pulsus paradoxus
drop in systolic blood pressure during inhalation
hemoptysis
coughing up blood or blood stained sputum
ominous sign of severe chest injury
increasing heart rate and decreasing b/p associated with increasing respiratory distress
peritoneal space
potential space between the visceral and parietal peritonea
retroperitoneal cavity
posterior abdominal cavity lie partially or completely outside of the peritoneum
retroperitoneal organs
duodenum
pancreas
inferior vena cava
aorta
kidneys
ureters