10.Pneumothorax

Introduction ,[object Object],[object Object],[object Object],[object Object]

Introduction ,[object Object],[object Object],[object Object]

Contents ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Classification of pneumothorax ,[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Clinical typing of pneumothorax

Pathogenesis and mechanisms ,[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],Pathogenesis and mechanisms

Pathogenesis and mechanisms ,[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Pathophysiology

[object Object],[object Object],[object Object],Pathophysiology Shows a similar cystic space, completely surrounded by pl pleura

[object Object],[object Object],Pathophysiology Lung parenchyma Surrounded by fibrous tissue

Blebs The patient, a 22-year-old male, was admitted to hospital, complaining of left chest pain and palpitations.

[object Object],[object Object],[object Object],Pathophysiology

[object Object],[object Object],[object Object],[object Object],Pathophysiology

[object Object],[object Object]

Clinical typing of pneumothorax Closed communicated tension Rupture small large valve-like sealed open in not out Pressure P or N atmosphere high After Aspiration N atmosphere high again

Clinical manifestation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Clinical manifestation

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Clinical manifestation

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Clinical manifestation

Clinical stability ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Evaluate the severity and make decision for treatment

Imaging- Plane chest X-ray film ,[object Object],[object Object],[object Object],[object Object],[object Object]

Plane chest X-ray film ,[object Object],[object Object]

Plane chest X-ray film ,[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Estimation of pneumothorax volume

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Plane chest X-ray film Hemithorax (HT) Lung (L)

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Plane chest X-ray film Hemithorax (HT) Lung (L)

CT scanning ,[object Object],[object Object],[object Object]

CT scanning bullae pneumothorax

CT scanning bullae pneumothorax pneumothorax

CT scanning Small pneumothorax Subcutaneous emphysema

Diagnosis and Differentiation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Treatment

Observation - PSP ,[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],Observation - SSP

[object Object],[object Object],[object Object],Observation - PSP or SSP

[object Object],[object Object],Observation - PSP or SSP

Aspiration ,[object Object],[object Object],[object Object]

Catheter aspiration ,[object Object]

Intercostal tube drainage Fix the catheter and cover with gauze Making a small incision

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Intercostal tube drainage

[object Object],[object Object],[object Object],Intercostal tube drainage

[object Object],[object Object],Intercostal tube drainage

Observation of drainage ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Complications of intercostal tube drainage ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Chemical pleurodesis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Chemical pleurodesis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Chemical pleurodesis

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Chemical pleurodesis

Thoracoscopy ,[object Object],[object Object]

Surgical treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Complications of pneumothorax ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Complications

[object Object],[object Object],[object Object],[object Object],Complications

Complications Pneumomediastinum Pneumocardium Pneumoperitoneum Surgical emphysema

Complications Subcutaneous emphysema

Complications ,[object Object],[object Object],[object Object],[object Object]

Recurrent Rates ,[object Object],[object Object]

Case 1 ,[object Object],[object Object],[object Object],[object Object],[object Object]

Questions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Questions ,[object Object],[object Object],[object Object],[object Object],[object Object]

Case 2 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

10.Pneumothorax

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10.Pneumothorax