pneumothorax semiology ... baku medical university 125a canım anneme atfediyorum

2.  A pneumothorax (pneumo- + thorax; plural
pneumothoraces) is an abnormal collection of
air or gas in the pleural space that separates the
lung from the chest wall. Like pleural effusion
(liquid buildup in that space), pneumothorax
may interfere with normal breathing. It is often
called collapsed lung, although that term may
also refer to atelectasis.

3.  John, a healthy twenty-eight year old electrical
engineer, was driving home from work one evening
when he experienced sudden stabbing pain in his
right pectoral and right lateral axillary regions. He
began to feel out of breath and both his respiratory
rate and heart rate increased dramatically. As luck
would have it, John passed a hospital each day on
his way home and was able to get himself to the
hospital’s emergency room. The emergency room
physician listened to John’s breathing with a
stethoscope and requested blood gas analysis and a
chest x-ray. John answered a few of the doctor’s
questions. The doctor noted that John had no history
of respiratory problems but was a heavy smoker.

4.  After viewing the chest radiograph, the doctor informed
John that he had experienced a spontaneous
pneumothorax, or what is commonly called a collapsed
lung. The doctor explained that a hole had opened in
John’s right lung and that this hole had allowed air to
leak into the cavity surrounding the lung. Then, as a
result of the lung’s own elastic nature, the lung had
collapsed. The doctor said he could not be certain of
the cause of the pneumothorax, but smoking cigarettes
had certainly increased the likelihood of it happening.
He told John he was fortunate the pneumothorax was
small, which meant that relatively little air had escaped
from the lung into the surrounding cavity, and it should
heal on its own. He instructed John to quit smoking,
avoid high altitudes, flying in nonpressurized aircraft,
and scuba diving. He also had John make an
appointment for a re-check and another chest x-ray

5.  Spontaneous pneumothorax occurs when a blister
on the surface of the lung opens, allowing air from
the lung to move into the pleural cavity. This occurs
because alveolar pressure is normally greater than
the pressure in the pleural cavity. As air escapes
from the lung, the lung tissues will recoil, and the
lung will begin to collapse. The lung will continue to
collapse until the difference between the alveolar
pressure and pleural pressure disappears or until
the collapsing of the lung causes the opening to seal

6.  The pneumothorax decreases the efficiency of the
respiratory system, which in turn results in decreased
blood oxygen concentration, increased respiratory
rate, and increased heart rate. If the pneumothorax is
small, the air that escapes into the pleural cavity can
be reabsorbed into the lung once the opening has
sealed shut. If the pneumothorax is large, a needle
or chest tube may have to be inserted into the pleural
cavity to draw the air out and allow for the
reexpansion of the lung…

7. …mostly any damage ocur on chest wall,of course rib
fracture exception…
…sudden pain and continous
breathlessness,subsequently their chest ache on pain…
…different usage of left et right ones lung,accordinly
diagphram muscle…
…change location trachea and heart apex

8.  Palpation useless in this case because of no sign on
the chest wall any big lymph node or other
something but easily seenable rib fracture and other
something

9. …normal condition on lung
occuring sonarity voice but in
pneumothorax this sound
change to hyper sonarity-hyper
resonance or even more
bad condition could be
tympanic voice just like on
stomach fundus…

10.  …moslt no inhaletion or exhaletion sound maybe a
little

11. …hypoxemia
…hypocapnia(CO2)
… onset of chronic obstructive pulmonary disease
… jugular venous pressure
AND COULDE BE THE WORST COMA
DİAGNOSİS
Chest X-ray
Ultrasound

12. …Aspiration
…Chest tube