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Author13 Posts
  #1

Symptomatic Pneumothorax----Tube thoracostomy..

However,I could not find the collapse of the lung in the x-ray...Any comments?raised eyebrow

  #2

Yes, should go with (D)
I do see a collapsed right lung: semilunar, very soft shadow on the right side.

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  #3

oops...Yeah..I do now.Have to be carefulwink

  #4

D

  #5

i'm confused between D & E... can any one explain ??

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I will not say I failed 1000 times.. I will say that I discovered there are 1000 ways that can cause failure ..

  #6

well this patient has a spontaneous pneumothorax which need a tube placement thoracostomy to drain air ...
You dont need a thoracotomy "an open surgical incision" of the thorax to drain to air.
clear?


  #7

parameter wrote:
well this patient has a spontaneous pneumothorax which need a tube placement thoracostomy to drain air ...
You dont need a thoracotomy "an open surgical incision" of the thorax to drain to air.
clear?




Thanks ..


___________________
I will not say I failed 1000 times.. I will say that I discovered there are 1000 ways that can cause failure ..

  #8

Is this a case of pneumothorax or pleural effusion? I think the right side is somehow blunted and may suggest the presence of fluid?

  #9

Guys in a pneumothorax the trachea is deviated here it is central this is not plural effusion either this is a panic attack and the treatment is bed rest and sedative therapy come on this was an easy question

Edited by Aashi on 06/03/07 - 02:09 PM

  #10

ram3 wrote:
in a pneumothorax the trachea is deviated here it is central



As far as i know, the trachea is typically deviated in TENSION pneumo. This patient doesn't have tension pneumo because his vitals are stable.

This is symptomatic non-tension pneumo...needs chest tube.


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  #11

yep agreed, tube throcastomy

  #12

i still disagree so everyperson who presents with chest pain you are going to insert chest tube come on guys thats invasive you would need more information to say this is pneumothorax which it is not

  #13

i think the x ray has enough evidence to warranty a tube thoracostomy in this case...

pls do correct if im wrong...

thnx










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