Ortopedik Engels and Their Impact
Bedensel Engelliler ve Ortopedik Yetersizlikler hakkında detaylı bilgi içeren bir içerik. Ortopedik engellerin tanımı, etkileri, ve zorlukları üzerine bilgiler sunulmaktadır. Sizler de bu konuda faydalı bilgiler edinebilir ve ortopedik engellilikle ilgili farkındalığınızı arttırabilirsiniz.
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Presentation Transcript
SPONTANEOUS PNEUMOTHORAX Dr. Yewande Olupitan Senior House Officer Emergency Medicine
WHAT? The presence of air or gas within the pleural cavity which can impair oxygenation and/or ventilation.
WHY? Ruptured Subpleural Bullae(Primary) Secondary causes include: Asthma COPD Tuberculosis Malignancy Bronchiectasis/Cystic Fibrosis Idiopathic pulmonary Fibrosis Sarcoidosis Pneumocystis carinii pneumonia
HOW COMMON? 7.4 per 100,000 /year USA 37 per 100,000/year UK Incidence substantially lower in Females
WHOS AFFECTED? Tall, thin MALES Smokers Marfan s syndrome Homocystinuria Family history Thoracic Endometriosis
CLINICAL PICTURE Pleuritic chest pain-severity of which varies depending on degree of lung collapse. Acute Shortness of Breath Normal physical examination Tachypnea Asymetric chest expansion Reduced breath sounds Tachycardia Hypoxia
FINDINGS Arterial Blood Gas: Hypoxia Acidemia Hypercarbia Depending on degree of Cardiopulmonary compromise
RADIOLOGIC FINDINGS Chest Xray is Key!
MANAGEMENT BRITISH THORACIC SOCIETY GUIDELINES 2010
OUTCOME Observe &Discharge with ED review with CXR 2wks Secondary pneumothorax successfully treated with aspiration-Admit under Inpatient Medical TOC Discharge advcice against flying,diving KIV Recurrence: 25%-50% in first year
Thanks for Listening QUESTIONS, QUERIES,CLARIFICATIONS .
REFERENCES ED Guidance Notes July 2014 www.brit-thoracic.org.uk www.nejm.org www.uptodate.com www.emedicine.com
