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14 Cards in this Set

  • Front
  • Back

What are the risk factors for primary pneumothorax?

1. Smoking


2. Family hx


3. Marfan's


4. Homocystinuria

What are the MCC of secondary spontaneous pneumothorax?

1. COPD


2. CF


3. PCP


4. TB

What imaging can be used for pneumothorax?

1. Plain film


2. CT


3. Ultrasound

What is the sign for a pneumothorax on a supine plain film CXR?

1. Deep sulcus sign from accumulation of gas in subpulonic location


2. >500 cc air

What is the sign of a pneumothorax on an upright CXR?

-Lung volume loss and collapse


-As little as 50 cc of air

What is the easiest way to detct a pneumothorax using a CXR?

1. Lateral decubitus-- only needs 5 cc of air

What is the best imaging modality to detect a pneumothorax?

CT

What are the signs of pneumothorax on US?

1. Sliding lung


2. Comet tail sign (B-lines)

What is a simple pneumothorax?

-Pleural pressure<atmospheric pressure

What is a tension pneumothorax?

-Pleural pressure>atmospheric pressure

What is an open pneumothorax?

-Related to trauma with an open chest wall

What is an ex vacuo pneumothorax?

1. Related to atelectasis


2. Tx with bronchoscopy

How do you tx small, uncomplicated pneumothorax?

1. Observation

What is the general tx for pneumothorax?

1. Observation


2. O2


3. Aspiration


4. Chest-tube thoracostomy


5. Video-assisted thoroscopy-- pleurodesis