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What is a pneumothorax?
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Presence of air in the pleural space-complete or partial collapse of lung
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When do pneumothoraxes usually occur?
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-suspect with trauma or blunt injury-suspect with chronci airflow limitaiotn-may occur with infection-may occur with lung cancer
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Normal lung inflation depends on what?
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Intact plural membranes and negative intraplural pressure
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What does the size of the lung collapse depends on?
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The amount of negative pressure lost from the intraplural space
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What is a closed pneumothorax?
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-Closed (internal)-no external wound-most common form of spontaneous pneumothorax-accumultion of air in plural space-no enticendent event
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What is the most common form of a spontaneous pneumothorax?
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Closed internal pneumothorax
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COPD is an example of what
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Closed pneumothorax
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Open pneumoprthrax?
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Open (external)-air nters the pleural space through an opening in the chest wallex. stab, gun owund or thoracic thoractomy
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"rapid acumulatoin of air in the plural space causing increased intrapleural pressure with resultant tension on the heart and great vessels" can result from open or closed..
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Tension pneumothorax
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"collection of abnormal fluid"
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Plural effusion
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What is a plural effusion?
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-collection of fluid in plural space-indication of another problem-usually 25ml of plural fluid in this space
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Heimlich valve?
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-tiny valve with a poky needle that fits into the lung an is taped in place and draws fluid with gravity and gentle pressure
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"accumulation of blood in the plural space common with open pneumothorax"
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Hemothorax
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Hemothorax?
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-blood in intraplural space with open pneumothorax and therefore called a hemopneomothorax
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What is a chylothirax?
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Also called a chylopneumothorax-this is when there is lymphatic fluid and possible air in the plural space due to a leak in the thoracic duct -causes include trauma, surgical procesure and malignancy
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