What are the two types of pneumothorax
Most common physical finding?
What is deep sulcus sign
How many days would it take a 25% pneumothorax to resolve without O2 administration?
What is 20 days
what is true
Do men or women have higher incidence of primary pneumothorax?
What are men (10-18 cases per 100,000)
what is ipsilateral shoulder
What is gold standard imaging modality for pneumothorax
What is CT
What is the location for chest tube placement?
What is mid- to ant axillary line at 4th/5th intercostal space
what makes up triangle of safety
what is the fifth intercostal space, pectoralis major, latissimus dorsi
What is the most common cause of secondary pneumothorax
true or false the ppv of ipsilateral decreased breath sounds is 5-10% for the diagnosis?
What is false (has PPV of 86-97% for diagnosis)
What is the name of the US finding showing the movement of the lung against stationary chest wall?
what is seashore sign. (normal)
What is an indication for OR thoracotomy after placing chest tube for hemothorax?
What is >1200ml (20ml/kg) drainage immediately after insertion or continous 150-200 mL/hr for 2-4 hours or persistent 7ml/kg/hr at any time
true or false the chest tube should stay in place if patient is mechanically ventilated?
what is true
What infection is associated with subpleural necrosis leading to pneumothorax in 5% of patients with acquired immunodeficiency syndrome?
Name of physical exam finding when air infiltrates the subcutaneous layer of skin causing skin to feel like rice crispies?
What is subcutaneous emphysema
What is the name of the sign found on US of pneumothorax showing still image of uniformly parallel horizontal lines above and below the pleural lines due to lack of sliding?
What is barcode sign
What size chest tube should you use for hemothorax?
what is 24-36 french
true or false you can text the halal guy ahead of time to place an order so its ready.
what us true
What type of pneumothorax occurs within 72 hours before or after the start of menstruation?
What is catamenial pneumothorax
What are the hallmark symptoms of tension pneumothorax?
what is tracheal deviation away from affected side, hyperresonance of affected side, hypotension, significant dyspnea
How to measure size of pneumothorax on PA film easily?
What is Measure apex of lung to cupula of thoracic cavity on upright PA film; if less than 3cm considered small
Patient presents SOB, tachycardic, hypoxic, hypotensive, with tracheal deviation to the left what would you do next and on what side would you do it on?
What is needle decompress on the right.
What is Miriam