Pulmonology Book

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Chest XRay in Pneumothorax

Aka: Chest XRay in Pneumothorax, Pneumothorax Imaging
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  1. See Also
    1. Pneumothorax
    2. Simple Pneumothorax
    3. Spontaneous Pneumothorax
    4. Tension Pneumothorax
    5. Hemothorax
  2. Images
    1. Complete Pneumothorax
      1. lungPtxComplete_PA.jpg
    2. Reexpansion pulmonary edema following Chest Tube placement
      1. lungPtxCompleteReExpansionPulmonaryEdema.jpg
  3. Imaging: Chest XRay
    1. Standard PA View
      1. Best overall XRay view to identify Pneumothorax
      2. Absence of lung markings
    2. Obtain Expiratory Film
      1. Enhances Pneumothorax (compresses collapsed lung)
      2. Does not enlarge Pneumothorax
    3. Efficacy
      1. Test Sensitivity: 85% (compared with CT Chest)
    4. False Positives
      1. Pulmonary bleb (COPD) - may require CT chest to distinguish
      2. Skin folds
      3. Scapula border
    5. Red flags
      1. Air fluid levels
        1. Consider Hemothorax
  4. Imaging: Advanced
    1. CT Chest
      1. Gold standard in Pneumothorax
      2. Indicated where Chest XRay cannot distinguish bleb in COPD from Pneumothorax
      3. May identify a clinically insignificant Pneumothorax that would resolve without treatment
    2. Ultrasound chest
      1. High Test Sensitivity for Pneumothorax

Pneumothorax (C0032326)

Definition (NCI) Abnormal presence of air in the pleural cavity resulting in the collapse of the lung.
Definition (NCI) A disorder characterized by abnormal presence of air in the pleural cavity resulting in the collapse of the lung.
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.
Concepts Disease or Syndrome (T047)
MSH D011030
ICD10 J93, J93.9
SnomedCT 155609008, 155612006, 196106000, 36118008
English Pneumothorax, pneumothorax disorder, PNEUMOTHORAX, Pneumothorax, NOS, Pneumothorax NOS, Pneumothorax, unspecified, pneumothorax, pneumothorax (diagnosis), Pneumothorax NOS (disorder), Pneumothorax [Disease/Finding], free air in the chest outside the lung, Pneumothorax (disorder)
French PNEUMOTHORAX, Pneumothorax SAI, Pneumothorax, Pneumothorax spontané
Portuguese PNEUMOTORAX, Pneumotórax NE, Pneumotórax
Spanish NEUMOTORAX, Neumotórax NEOM, Pneumothorax, Pneumothorax NOS, neumotórax (trastorno), neumotórax, SAI (trastorno), neumotórax, SAI, neumotórax, Neumotorax, Neumotórax
German PNEUMOTHORAX, Pneumothorax NNB, Pneumothorax, nicht naeher bezeichnet, Pneumothorax
Dutch pneumothorax NAO, Pneumothorax, niet gespecificeerd, pneumothorax, Pneumothorax, Thorax, pneumo-
Italian Pneumotorace NAS, Pneumotorace
Japanese 気胸, 気胸ＮＯＳ, ｷｷｮｳNOS, ｷｷｮｳ
Swedish Luft i lungsäcken
Czech pneumotorax, Pneumotorax NOS, Pneumotorax
Finnish Ilmarinta
Russian PNEVMOTORAKS, ПНЕВМОТОРАКС
Korean 상세불명의 공기가슴증, 공기가슴증
Croatian PNEUMOTORAKS
Polish Odma opłucnowa
Hungarian Pneumothorax, Pneumothorax k.m.n.
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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