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Simple PneumothoraxAka: Spontaneous Pneumothorax, Pneumothorax
- Also See
- Tension Pneumothorax
- Open Pneumothorax
- Epidemiology
- Typical patient is a tall, thin male
- Age under 40 years (80%)
- Presentation within 24 hours (70%)
- Risk Factors
- Chronic Obstructive Pulmonary Disease (COPD)
- Asthma
- Bronchitis
- Menstruation
- Symptoms
- Chest Pain
- Sudden sharp pain
- Radiates to back or shoulders
- Variable cardiopulmonary symptoms including Dyspnea
- Signs
- Examination may be unremarkable
- Keep high index of suspicion
- COPD patients
- Tall, thin males
- Unilateral absent breath sounds
- Hyperresonant to percussion
- Coin Test
- Radiology: Chest XRay Expiratory Film
- Enhances pneumothorax (compresses collapsed lung)
- Does not enlarge pneumothorax
- Management
- Observation for small pneumothorax
- Volume: <20%
- Apical depth: <1 cm
- Needle aspiration
- Successful in 70% of cases
- Chest Tube Indications
- Large pneumothorax
- Decompensating patient status
- Positive Pressure Ventilations used
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| Definition (MSH) | An accumulation of air or gas in the pleural space, which may occur spontaneously or as a result of trauma or a pathological process, or be introduced deliberately ( = PNEUMOTHORAX, ARTIFICIAL). (Dorland, 27th ed) |
| Definition (CSP) | accumulation of air or gas in the pleural space, which may occur spontaneously or as a result of trauma or a pathological process. |
| Definition (NCI) | Pneumothorax; abnormal presence of air in the pleural cavity resulting in the collapse of the lung. |
| Concepts | Disease or Syndrome (T047)
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| ICD9 | 512, 512.8 |
| English | Pneumothorax, pneumothorax disorder |
| Spanish | neumotórax, neumotorax |
| Credits | Derived from the NIH UMLS (Unified Medical Language System)
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