Page 232 - 2021 IDMT Digital

PNEUMOTHORAX
Introduction:
• 3QHXPRWKRUD[ RU DFFXPXODWLRQ RI DLU LQ WKH SOHXUDO VSDFH LV FODVVLILHG DV VSRQWDQHRXV
RU WUDXPDWLF
o 3ULPDU\ VSRQWDQHRXV DIIHFWV WDOO WKLQ PDOHV \HDUV ROG DVVRFLDWHG ZLWK
VPRNLQJ IDPLO\ KLVWRU\
o 6HFRQGDU\ VSRQWDQHRXV RFFXUV DV D FRPSOLFDWLRQ RI &23' DVWKPD F\VWLF
ILEURVLV SQHXPRQLD RWKHU LQWHUVWLWLDO OXQJ GLVHDVHV DQG PHQVWUXDWLRQ
o 7UDXPDWLF SQHXPRWKRUD[ UHVXOWV IURP SHQHWUDWLQJ RU EOXQW WUDXPD
Subjective:
• 6LJQV DQG 6\PSWRPV
o &KHVW SDLQ RQ DIIHFWHG VLGH VKDUS DQG VWDEELQJ
o '\VSQHD
o 0LOG WDFK\FDUGLD
o 2QVHW RI V\PSWRPV XVXDOO\ DFXWH DQG VHYHUH
Objective:
• 3K\VLFDO ([DP
o )XOO UHVSLUDWRU\ H[DP
o ,I SQHXPRWKRUD[ LV ODUJH GLPLQLVKHG EUHDWK VRXQGV GHFUHDVHG WDFWLOH IUHPLWXV
DQG GHFUHDVHG PRYHPHQW RI WKH FKHVW FDQ EH QRWHG
• 7RROV
o &KHVW [ UD\ ZLOO VKRZ D YLVFHUDO SOHXUDO OLQH
Assessment:
• 'LIIHUHQWLDO
o (VRSKDJHDO VSDVP FKHVW SDLQ ZLWKRXW VKRUWQHVV RI EUHDWK
o 6HYHUH EURQFKRVSDVP ZKHH]LQJ DQG FRXJKLQJ
o 3QHXPRQLD WR[LF FOLQLFDO DSSHDUDQFH
o 3HULFDUGLWLV GLVWDQW KHDUW VRXQGV distended QHFN YHLQV
Plan:
• $GPLQLVWHU R[\JHQ LQ WKH KLJKHVW FRQFHQWUDWLRQ DYDLODEOH
• $ VPDOO DQG VWDEOH SQHXPRWKRUD[ RI WKH KHPiWKRUD[ PD\ EH WUHDWHG ZLWK
REVHUYDWLRQ RQO\ RU VLPSOH QHHGOH DVSLUDWLRQ
• &ORVH REVHUYDWLRQ LQ D PRQLWRUHG VHWWLQJ PRQLWRU IRU WHQVLRQ SQHXPRWKRUD[ ZKLFK ZLOO
UHTXLUH QHHGOH GHFRPSUHVVLRQ FKHVW WXEH
• (9$& RU WUDQVIHU WR KLJKHU OHYHOV RI FDUH $6$3

[ 231 ]