Template:Pneumothorax diagnosis: Difference between revisions
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**Upright is best | **Upright is best | ||
***Expiratory films DO NOT improve accuracy<ref>Eur Respir J. 1996 Mar;9(3):406-9</ref> | ***Expiratory films DO NOT improve accuracy<ref>Eur Respir J. 1996 Mar;9(3):406-9</ref> | ||
***Lateral decubitus films with suspected side up do increase sensitivity. Good approach in pediatrics to avoid CT | |||
**Supine CXR = deep sulcus sign | **Supine CXR = deep sulcus sign | ||
*CT Chest | *CT Chest | ||
Revision as of 15:07, 20 June 2019
Clinically Stable
Defined as having all of the following:
- Resp rate < 24
- Heart rate 60-120 beats per minute
- Normal BP
- SaO2 >90% on room air and patient can speak in whole sentences
Workup
- CXR
- Displaced visceral pleural line without lung markings between pleural line and chest wall
- Upright is best
- Expiratory films DO NOT improve accuracy[1]
- Lateral decubitus films with suspected side up do increase sensitivity. Good approach in pediatrics to avoid CT
- Supine CXR = deep sulcus sign
- CT Chest
- Very sensitive and specific
- Ultrasound
- NO comet tail artifact
- No sliding lung sign
- Bar Code appearance on M-mode (absence of "seashore" waves)
- ↑ Eur Respir J. 1996 Mar;9(3):406-9