Pulmonology Book

Miscellaneous

Pneumothorax

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Tension Pneumothorax

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  1. Also See
    1. Simple Pneumothorax
    2. Open Pneumothorax
  2. Symptoms
    1. See Simple Pneumothorax
    2. Air Hunger
  3. Signs
    1. See Simple Pneumothorax
    2. Respiratory distress
    3. Tachycardia
    4. Hypotension
    5. Tracheal deviation to contralateral side
    6. Neck vein distention
  4. Radiology: Chest XRay
    1. Do not use XRay to diagnose a tension Pneumothorax
    2. Confirm diagnosis by Chest XRay after decompression
  5. Management
    1. Emergent Needle Thoracentesis
      1. Do not wait for Chest XRay
    2. Chest Tube placement

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