Male > female (1.4 to 10.1:1)
May be asymptomatic (pneumothorax discovered on chest film obtained for other reasons)
Shortness of breath
Pleuritic chest pain that is usually sudden in onset and localized...
Stabilization of the patient
Evacuation of the pleural air
Should be done urgently if a tension pneumothorax is suspected
In small asymptomatic pneumothoraces, observation of th...
Baumann MH. Management of spontaneous pneumothorax. Clin Chest Med. 2006;27(2):369–381. [View Abstract on OvidInsights]
Briassoulis GC, Venkataraman ST, Vasilopoulos AG, et al....
512.89 Other pneumothorax
512.81 Primary spontaneous pneumothorax
860.0 Traumatic pneumothorax without mention of open wound into thorax
512.0 Spontaneous tension pneumothorax
512.1 Iatrogenic p...
Q: Can a pneumothorax reoccur?
A: Reoccurrence depends on the underlying cause of the pneumothorax. Spontaneous pneumothorax reoccurrence rates:
Observation alone: 20–50%
If thoracentesis performed: ...
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FIGURE 1.26. A 40-year-old man who developed a left pneumothorax while being ventilated for acute respiratory distress syndrome (ARDS). A: Baseline chest radiograph shows diffuse parenchymal airspace opacity compatible with ARDS. B: A chest radiograph obtained during respiratory deterioration shows a new lucency over the region of left hemidiaphragm (deep anterior sulcus). There is also increased depth of the lateral costophrenic sulcus. The thin white line of pneumothorax is evident superi...
FIGURE 1.26. A 40-year-old man who developed a left pneumothorax while being ventilated for acute respiratory distress syndrome (ARDS). A:...
Figure 102.1. Chest film demonstrating a pneumothorax on the right.
FIGURE 107.12. A 5-year-old girl fell off of and was then kicked in the chest by a horse. Upon arrival of the life-flight team, the patient was found to be in both respiratory and cardiovascular distress. Chest radiograph demonstrated a left-sided tension pneumothorax. The patient was intubated, and a chest tube was placed before the patient was transported. After the intubation and chest tube insertion, both the patient’s respiratory and cardiovascular status improved.
FIGURE 107.12. A 5-year-old girl fell off of and was then kicked in the chest by a horse. Upon arrival of the life-flight team, the patien...
CT scan showing pneumothorax in patient with COPD