Template:Pneumothorax diagnosis: Difference between revisions
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===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=== | ===Workup=== | ||
[[File:Pneumothorax.jpeg|thumbnail]] | [[File:Pneumothorax.jpeg|thumbnail]] | ||
Revision as of 22:44, 13 May 2015
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]
- 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