CXR I




Fig. 44.1







    1. 1.


      What does above image Fig. 44.1 show?

       

    2. 2.


      Is there a way to classify this condition?

       

    3. 3.


      What are the causes and the clinical presentation of this condition?

       

    4. 4.


      What are the indications for surgical intervention?

       

    5. 5.


      How do you treat tension pneumothorax?

       




    Answers


    1. 1.


      The image shows a large right-sided pneumothorax with visible margins of the collapsed lung. Pneumothorax is the presence of gas within the pleural space owing to disruption of the parietal or visceral pleura.

       

    2. 2.


      Classification

      Neonatal, spontaneous, traumatic



      • Pediatric pneumothorax – neonates with respiratory distress syndrome, especially if they are mechanically ventilated with positive and expiratory pressure and are prone to pneumothorax.


      • Congenital diaphragmatic hernia results in underdeveloped lung ipsilateral to the defect in diaphragm. The more compliant contralateral lung is prone to barotrauma and pneumothorax.

      Spontaneous pneumothorax occurs without trauma and most often in males between 20 and 35 years of age. These patients are often tall and slender, and most of the patients are smokers. Recurrent spontaneous pneumothorax is common during the first year after the initial event.

      Primary spontaneous pneumothorax occurs in tall, thin males aged 20–40 and who are smokers. Secondary spontaneous pneumothorax occurs in patients with underlying pulmonary disease, and the presentation may be more serious with symptoms and sequelae due to comorbid conditions.

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    Sep 23, 2017 | Posted by in Uncategorized | Comments Off on CXR I
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