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Pneumothorax
Causes
 Spontaneous (young thin men)
 Rupture of subpleural bulla
 Asthma
 COPD
 TB
 Pneumonia
 Lung abscess
 Carcinoma
 Cystic fibrosis
 Lung fibrosis
 Sarcoidosis
 Connective tissue disorders:Marfan's syndrome,Ehlers-
Danlos syndrome
 Trauma
 Iatrogenic:subclavian CVP line insertion,pleural
aspiration or biopsy, transbronchial biopsy,percutaneous
liver biopsy,+ve pressure ventilation
ClinicalFeatures
 Symptoms
Dyspnea
Pleuritic chest pain
Sudden deterioration:asthma,COPD
Hypoxia
Increase in ventilation pressure
 Signs
 Inspection
 Palpation
 Reduced expansion
 Percussion
 Hyperresonance
 Auscultation
 Diminished breath sounds on the affected side

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Pneumothorax

  • 2. Causes  Spontaneous (young thin men)  Rupture of subpleural bulla  Asthma  COPD  TB  Pneumonia  Lung abscess  Carcinoma  Cystic fibrosis  Lung fibrosis  Sarcoidosis  Connective tissue disorders:Marfan's syndrome,Ehlers- Danlos syndrome  Trauma  Iatrogenic:subclavian CVP line insertion,pleural aspiration or biopsy, transbronchial biopsy,percutaneous liver biopsy,+ve pressure ventilation
  • 3. ClinicalFeatures  Symptoms Dyspnea Pleuritic chest pain Sudden deterioration:asthma,COPD Hypoxia Increase in ventilation pressure  Signs  Inspection  Palpation  Reduced expansion  Percussion  Hyperresonance  Auscultation  Diminished breath sounds on the affected side