Primary spontaneous pneumothorax pneumothorax. Medical search. Frequent questions

Examination of patients with this condition may reveal diaphoresis and cyanosis (in the case of tension pneumothorax). (medscape.com)
Although laboratory and imaging studies help determine a diagnosis, tension pneumothorax primarily is a clinical diagnosis based on patient presentation. (medscape.com)
this is called a tension pneumothorax. (wikipedia.org)
It is rare for a PSP to cause a tension pneumothorax. (wikipedia.org)
Look out for patients with evidence of severe respiratory distress and/or haemodynamic instability (e.g. hypotension, marked tachycardia) because this indicates tension pneumothorax. (pulsenotes.com)
See chapter on Tension pneumothorax below. (pulsenotes.com)
If the patient presents with features of tension pneumothorax , imaging must not delay urgent decompression . (pulsenotes.com)
in a haemodynamically unstable patient, this likely represents tension pneumothorax and the priority is clinical assessment and urgent decompression. (pulsenotes.com)
Acute posttraumatic tension gastrothorax mimicking acute tension pneumothorax. (downstate.edu)
If the pleural leak exerts a one-way valve effect then a tension pneumothorax can develop. (rcemlearning.co.uk)
If the spontaneous pneumothorax progresses to become under tension, the symptoms are more severe, and significant hemodynamic and respiratory instability may develop and require urgent treatment. (sts.org)
Although there is a low chance to have a tension pneumothorax in spontaneous pneumothorax, this can be the worst case scenario for those patients. (iem-student.org)
If the pneumothorax is made clinically or radiologically, then the types should be confirmed as spontaneous, traumatic, primary, secondary or tension etc. (iem-student.org)
Hypotension (think tension pneumothorax! (iem-student.org)
Tension pneumothorax in dogs is a life-threatening condition where air accumulates in the pleural cavity (the space between the lungs and chest wall) without an escape route. (drgoodvet.com)
Tension pneumothorax can occur as a complication of any other types of pneumothorax (traumatic, spontaneous, or iatrogenic) or as a result of a penetrating chest injury that creates a one-way valve effect, allowing air to enter the pleural cavity but not escape. (drgoodvet.com)
Sudden shock or low blood pressure or distended neck veins can bring on a condition of tension pneumothorax. (targetwoman.com)
Tension pneumothorax may occur after spontaneous pneumothorax, although it is more common after traumatic pneumothorax or with mechanical ventilation. (medscape.com)

A traumatic pneumothorax can develop from physical trauma to the chest (including a blast injury) or from a complication of a healthcare intervention. (wikipedia.org)
Traumatic pneumothorax most commonly occurs when the chest wall is pierced, such as when a stab wound or gunshot wound allows air to enter the pleural space, or because some other mechanical injury to the lung compromises the integrity of the involved structures. (wikipedia.org)
Traumatic Pneumothorax Traumatic pneumothorax occurs when air accumulates between the chest wall and the lung because of an injury. (msdmanuals.com)
For traumatic pneumothorax, intermittent needle thoracentesis may be sufficient in some animals to prevent dyspnea while the lung heals, but chest tubes are occasionally required. (vin.com)
Traumatic pneumothorax in dogs is a critical condition involving air accumulation in the pleural space, negatively impacting lung function. (drgoodvet.com)
It is classified as spontaneous (not caused by trauma), traumatic, or iatrogenic (see the images below). (medscape.com)
Traumatic pneumothorax is caused by penetrating or blunt trauma to the chest, with air entering the pleural space directly through the chest wall, through visceral pleural penetration, or through alveolar rupture resulting from sudden compression of the chest. (medscape.com)

Smoking increases the risk of primary spontaneous pneumothorax, while the main underlying causes for secondary pneumothorax are COPD, asthma, and tuberculosis. (wikipedia.org)
Therefore, similar to treating primary spontaneous pneumothorax, if I am going to intervene (which is much more likely in secondary pneumothorax) I tend to put in a percutaneous drain. (otago.ac.nz)

In a larger pneumothorax, or if there is shortness of breath, the air may be removed with a syringe or a chest tube connected to a one-way valve system. (wikipedia.org)
A patient suffering from spontaneous pneumothorax experiences shortness of breath and abnormal breathing patter. (targetwoman.com)

Radiograph of a patient with a complete right-sided pneumothorax due to a stab wound. (medscape.com)
The proband was a 40-year-old Korean woman who presented with right-sided pneumothorax and papular lesions on the face and neck area but without renal cancer. (elsevierpure.com)
A large, right-sided pneumothorax has occurred from a rupture of a subpleural bleb. (medscape.com)

This type of pneumothorax is described as primary because it occurs in the absence of lung disease such as emphysema. (medlineplus.gov)
This type of pneumothorax can also result from a serious accident or violent crime. (targetwoman.com)

Iatrogenic pneumothorax in dogs occurs due to medical procedures or interventions performed by a veterinarian or other medical professional. (drgoodvet.com)
With the increasing use of invasive diagnostic procedures, iatrogenic pneumothorax likely will become more common, although most cases are of little clinical significance. (medscape.com)

Underlying respiratory conditions (e.g.,asthma, chronic obstructive pulmonary disease, infections, history of spontaneous pneumothorax) can challenge the breathing capacity required of divers. (cdc.gov)
Further, the study demonstrated 24% of Birt-Hogg-Dubé syndrome patients and 34% of Birt-Hogg-Dubé syndrome family members screened for lung cysts had a history of spontaneous pneumothorax. (medscape.com)

Primary spontaneous pneumothorax is an abnormal accumulation of air in the space between the lungs and the chest cavity (called the pleural space) that can result in the partial or complete collapse of a lung. (medlineplus.gov)
A pneumothorax is an abnormal collection of air in the pleural space between the lung and the chest wall. (wikipedia.org)
Therefore, thoracic endometriosis should always be suspected in reproductive-age woman who suffer chest pain from spontaneous pneumothorax. (intechopen.com)
Pneumothorax classically presents with sudden onset pleuritic chest pain and dyspnoea . (pulsenotes.com)
The diagnosis of a pneumothorax is made through imaging, typically with a chest radiograph. (pulsenotes.com)
Erect chest x-ray is the standard first line imaging, allows size of pneumothorax to be estimated. (pulsenotes.com)
By definition, spontaneous pneumothoraces occur in the absence of any trauma (including iatrogenic causes) to the chest wall. (rcemlearning.co.uk)
The most useful investigation is the PA chest radiograph despite the fact that it tends to under-estimate the size of a pneumothorax by virtue of it being a 2-dimensional image of a 3-dimensional structure. (rcemlearning.co.uk)
An open pneumothorax happens when a penetrating trauma induces a disruption of the chest wall. (sts.org)
Most patients with a spontaneous pneumothorax seek medical attention because of sudden chest pain and dyspnea. (sts.org)
A pneumothorax is partial or complete collapse of the lung due to the presence of air between the two layers of pleura (thin, transparent, two-layered membrane that covers the lungs and also lines the inside of the chest wall). (msdmanuals.com)
Pneumothorax in dogs is a condition where air or gas accumulates in the space between the lungs and the chest wall, causing a collapse of the lung. (drgoodvet.com)
Treatment of pneumothorax in dogs typically involves removing the accumulated air or gas from the chest cavity and stabilizing the lung to prevent further collapse. (drgoodvet.com)
After a thorough examination, the vet diagnosed Bella with pneumothorax, a potentially life-threatening condition in which air accumulates in the chest cavity. (drgoodvet.com)
Pneumothorax in dogs is a medical condition characterized by air or gas within the pleural cavity, the space between the lungs and the chest wall. (drgoodvet.com)
Spontaneous pneumothorax is a condition where the lung collapses due to accumulation of air or gas in the chest. (targetwoman.com)
In this main episode podcast we discuss the conservative management of large spontaneous pneumothorax, when a pigtail chest tube with Heimlich valve is indicated, detection of persistent air leak, removal of chest tube, surgical indications for spontaneous pneumothorax, management pitfalls and more. (emergencymedicinecases.com)
General signs of pneumothorax : absent breath sounds, inflated ipsilateral chest, hyper-resonance etc. (canadiem.org)
however, it is much less sensitive than chest computed tomography (CT) scanning in detecting blebs or bullae or a small pneumothorax. (medscape.com)
Persistent pneumothorax is defined as a continued air leak from an in situ chest drain for more than 48 hours after insertion. (medscape.com)
The diagnosis of pneumothorax is established by demonstrating the outer margin of the visceral pleura (and lung), known as the pleural line, separated from the parietal pleura (and chest wall) by a lucent gas space devoid of pulmonary vessels. (medscape.com)
The pleural line may be difficult to detect with a small pneumothorax unless high-quality posteroanterior and lateral chest films are obtained and viewed under a bright light. (medscape.com)
Primary objectives were to characterize cystic lung changes on computed tomography (CT) chest scanning and identify features that stratify patients at higher risk of pneumothorax. (medscape.com)

Risk stratification of patients at baseline could help to identify subgroups at higher risk of recurrent pneumothorax who would benefit from early intervention to prevent recurrence. (nih.gov)
The recurrence rate is similar to that of primary spontaneous pneumothorax. (msdmanuals.com)
How much prevention of postoperative recurrence by staple-line reinforcement on thoracoscopic blebectomy for spontaneous pneumothorax? (ers-education.org)

A small pneumothorax can be impossible to identify on clinical examination. (rcemlearning.co.uk)
Auscultation may not appreciate the difference in small pneumothorax, especially in a busy and noisy ED environment. (iem-student.org)

Once a bleb ruptures and causes a pneumothorax, there is an estimated 13 to 60 percent chance that the condition will recur. (medlineplus.gov)

Catamenial pneumothorax is a rare condition in which spontaneous pneumothorax is recurrent. (intechopen.com)
The incidence of catamenial pneumothorax has been underestimated for a few number of reasons. (intechopen.com)
Recently, the etiology of catamenial pneumothorax has been more accurately diagnosed because of increased awareness and interest in the disease. (intechopen.com)
In this chapter, we will discuss all aspects of catamenial pneumothorax from diagnosis to treatment. (intechopen.com)
Recurrent pneumothorax which is associated with menstruation is named as "catamenial pneumothorax" (CPX). (intechopen.com)
Catamenial pneumothorax is a rare form of secondary spontaneous pneumothorax. (msdmanuals.com)

Initial management of adolescent and young adult primary spontaneous pneumothorax should be guided by symptoms and can include observation, aspiration, or tube thoracostomy. (psu.edu)
Management of emergency department patients with primary spontaneous pneumothorax: needle aspiration or tube thoracostomy? (downstate.edu)

A primary spontaneous pneumothorax (PSP) tends to occur in a young adult without underlying lung problems, and usually causes limited symptoms. (wikipedia.org)
Symptoms are typically unilateral since the development of pneumothorax is most commonly unilateral. (pulsenotes.com)
The symptoms do not correlate closely with the size of the pneumothorax [12]. (rcemlearning.co.uk)
The symptoms are often more severe than those associated with a primary pneumothorax because lung function may already have been compromised by the underlying pathological process. (rcemlearning.co.uk)
The symptoms will vary depending on the cause e.g. fever, weight loss, night sweats but the primary complaint is that of breathlessness which is often out of proportion to the size of the pneumothorax radiologically. (rcemlearning.co.uk)
Unlike symptoms, the examination findings in primary spontaneous pneumothoraces are affected by the size of the pneumothorax. (rcemlearning.co.uk)
When we diagnosed pneumothorax, the patient symptoms are the driven factor for the treatment options. (iem-student.org)
Because of the underlying lung disorder, the symptoms and outcome are generally worse in secondary spontaneous pneumothorax. (msdmanuals.com)

Spontaneous pneumothoraces are common thoracic surgical problems and when complicated by recurrences and persistent air leaks are often difficult to treat. (nepjol.info)
We analyzed the retrospective data from the patients who received Video-Assisted Thoracoscopic Surgery for spontaneous pneumothoraces from January 2012 to January 2013 at Manmohan Cardio-thoracic Vascular and Transplant Center. (nepjol.info)
MacDuff A, Arnold A, Harvey J Management of spontaneous pneumothorax: British Thoracic Society pleural disease guideline 2010 Thorax 2010;65:ii18-ii31. (iem-student.org)
The development of spontaneous hemothorax can result from thoracic malignancies, primary vascular events, coagulopathy, spontaneous pneumothorax and a variety of infectious diseases. (crashingpatient.com)
Pneumothorax, the presence of air within the pleural space, is considered to be one of the most common forms of thoracic disease. (medscape.com)

Seven of 15 patients with primary spontaneous and 4/6 with secondary spontaneous had prior two or more episodes of pneumothorax. (nepjol.info)
PSPs more commonly occur during changes in atmospheric pressure, explaining to some extent why episodes of pneumothorax may happen in clusters. (wikipedia.org)

Birt-Hogg-Dubé syndrome (BHDS) is an autosomal dominant disease presenting with skin fibrofolliculomas, pulmonary cysts, primary spontaneous pneumothorax (PSP), and renal cancer. (elsevierpure.com)
Birt-Hogg-Dubé syndrome (BHDS) is an autosomal dominant disorder clinically manifested by fibrofolliculomas, renal cell carcinoma, lung cysts, and spontaneous pneumothorax. (medscape.com)
Pulmonary cysts and spontaneous pneumothoraces have also been increasingly reported manifestations of Birt-Hogg-Dubé syndrome. (medscape.com)
Of these, 100 % (28/28) had pulmonary cysts, 41 % (13/32) had spontaneous pneumothoraces, 26 % (8/31) had kidney cysts, 3 % (1/31) had renal tumors, and 53 % (18/34) had dermatologic manifestations. (medscape.com)
We found that all individuals had pulmonary cysts, pneumothoraces were common, and cyst size and lower lobe predominant disease were associated with pneumothorax. (medscape.com)

Primary spontaneous pneumothorax is likely due to the formation of small sacs of air (blebs) in lung tissue that rupture, causing air to leak into the pleural space. (medlineplus.gov)
Surgery is indicated at the time of the first episode if the pneumothorax is complicated by persistent air leak, hemothorax, or failure of the lung to re-expand. (sts.org)

Reduced breath sound on the affected side is more obvious with the increased size of pneumothorax (moderate or severe). (iem-student.org)

About 17-23 cases of pneumothorax occur per 100,000 people per year. (wikipedia.org)
however, regarding literature, about one-third of all surgically treated cases of pneumothorax in women are diagnosed to be CPX [ 9 , 10 , 11 , 12 ]. (intechopen.com)

History and physical examination remain the keys to making the diagnosis of pneumothorax. (medscape.com)

Spontaneous pneumomediastinum (SPM) is defined as nontraumatic presence of free air in the mediastinum in a patient with no known underlying disease. (sts.org)
Beauchamp G, Ouellette D. Spontaneous Pneumothorax and Pneumomediastinum. (sts.org)

The rationale for using 2 cm as the cut-off for indicating a large pneumothorax is that this approximates to the point at which up to half of the lung volume has been lost. (rcemlearning.co.uk)

Needle aspiration is likely to fail to resolve the pneumothorax with complete lung collapse and tends to fail about ⅓ of the time anyway. (otago.ac.nz)

Case Description -An 8-year-old 38-kg (84-lb) castrated male German Shepherd Dog cross was evaluated because of respiratory distress secondary to pneumothorax (detected radio-graphically prior to referral). (avma.org)
Pneumothorax is a serious condition that can lead to respiratory distress and reduced oxygenation of the blood, and requires prompt medical attention. (drgoodvet.com)

Spontaneous pneumothorax may be either primary (occurring in persons without clinically or radiologically apparent lung disease) or secondary (in which lung disease is present and apparent). (medscape.com)

The patient was rushed to the emergency room where it was noted that she had two broken ribs that lead to pneumothorax that is injury related (McKnight, 2020). (myassignment-services.com)
MéTHODE: Cette enquête multicentrique descriptive a été réalisée en distribuant un questionnaire à 26 unités de soins intensifs françaises, du 1er juin au 1er octobre 2020. (bvsalud.org)

It is relatively rare in dogs and is thought to result from the spontaneous rupture of small air-filled sacs called blebs or bullae on the lung's surface, sometimes referred to as the edges of the lung lobes. (drgoodvet.com)

Primary spontaneous pneumothorax usually occurs when a small weakened area of lung (bulla) ruptures. (msdmanuals.com)

The most common cause of a primary spontaneous pneumothorax is the rupture of small subpleural blebs. (sts.org)

The sudden onset of breathlessness in someone with chronic obstructive pulmonary disease (COPD), cystic fibrosis, or other serious lung diseases should therefore prompt investigations to identify the possibility of a pneumothorax. (wikipedia.org)
secondary spontaneous pneumothoraces occur in patients with chronic obstructive pulmonary disease (COPD). (sts.org)
Secondary spontaneous pneumothorax is noticed among persons who are suffering from chronic obstructive pulmonary disease, tuberculosis, pneumonia , asthma, cystic fibrosis or lung cancer . (targetwoman.com)

Primary spontaneous pneumothoraces occur in people with no underlying lung pathology. (rcemlearning.co.uk)
Secondary spontaneous pneumothoraces occur in patients with pre-existing lung parenchymal or pleural pathology (e.g. asthma, lung carcinoma). (rcemlearning.co.uk)
Whereas primary spontaneous pneumothoraces occur in young patients without lung disease, secondary spontaneous pneumothoraces occur in patients with clinical or radiographic evidence of underlying lung disease, most often COPD. (sts.org)

Obstructive lung diseases causing pneumothorax with brief mechanisms. (drnajeeblectures.com)

Resection of blebs and bullae and obliteration of the pleural space by pleurectomy or pleural abrasion, alone or in combination, are the two major goals in the surgical treatment of spontaneous pneumothoraces. (sts.org)
Conclusion: We recommend video-assisted surgery as the first-line surgical treatment for patients with recurrent primary spontaneous pneumothorax. (tau.ac.il)

Iatronic pneumothorax results from a complication of a diagnostic or therapeutic intervention. (medscape.com)

There are substantial differences in international guidelines for the management of pneumothorax and much geographical variation in clinical practice. (nih.gov)
Pathophysiological mechanisms underlying pneumothorax are now better understood and this may have implications for clinical management. (nih.gov)
Efficacy of treatments in primary spontaneous pneumothorax: a systematic review and network meta-analysis of randomized clinical trials. (myassignment-services.com)
Clinical Findings -CT of the thorax confirmed the presence of pneumothorax and revealed pulmonary blebs without evidence of infiltrative pulmonary changes. (avma.org)
Clinical Relevance -Reactive bronchopneumopathy should be included as a differential diagnosis for spontaneous pneumothorax in dogs. (avma.org)
The clinical features of pneumothorax typically develop at rest but can occur during exercise, air travel, scuba diving, or with the use of illicit drugs. (pulsenotes.com)

Findings on lung auscultation vary depending on the extent of the pneumothorax. (medscape.com)
Cyst size (OR 3.23, 95 % CI 1.35-7.73) and extent of lower lung zone disease (OR 6.43, 95 % CI 1.41-29.2) were the only findings associated with pneumothorax. (medscape.com)

First described in the early nineteenth century, pneumothorax was most commonly seen in patients with pulmonary tuberculosis. (pulsenotes.com)
Artificial therapeutic pneumothorax refers to the historical treatment for tuberculosis. (sts.org)

A small spontaneous pneumothorax will typically resolve without treatment and requires only monitoring. (wikipedia.org)
ERS task force statement: diagnosis and treatment of primary spontaneous pneumothorax. (nih.gov)
Manual Versus Digital Aspiration for First-Line Treatment of Primary Spontaneous Pneumothorax. (archbronconeumol.org)
Rarely, surgeons use chemical pleurodesis as first-line treatment for recurrences of pneumothorax. (sts.org)
Background: Management of recurrent primary spontaneous pneumothorax by open surgery was considered the treatment of choice until recently. (tau.ac.il)
Treatment for spontaneous pneumothorax involves removal of air from the pleural space so as to allow the lungs to expand again. (targetwoman.com)
Noninvasive treatment of pneumothorax with oxygen inhalation. (crashingpatient.com)
A 53-year-old man was being followed up by his primary care physician for left nasal obstruction of several months duration that was resistant to topical treatment. (isciii.es)

Introduction: Controversy exists in the optimal management of adolescent and young adult primary spontaneous pneumothorax. (psu.edu)
Conclusions: The management of adolescent and young adult primary spontaneous pneumothorax is varied. (psu.edu)

A physician will conduct a thorough physical examination and listen to your heart and breath sounds if he suspects a spontaneous pneumothorax condition. (targetwoman.com)

Primary spontaneous pneumothorax most often occurs in people without an identified gene mutation. (medlineplus.gov)
Secondary spontaneous pneumothorax occurs in people with an underlying lung disorder. (msdmanuals.com)

Advances in diagnostic techniques have increasingly allowed the identification of lung abnormalities in patients previously labelled as having primary spontaneous pneumothorax, a group in whom recommended management differs from those with clinically apparent lung disease. (nih.gov)
Methods: Medical records of patients with recurrent primary spontaneous pneumothorax were retrospectively reviewed. (tau.ac.il)
On the other hand, secondary spontaneous pneumothorax is noticed among older patients. (targetwoman.com)
Talc pleurodesis by thoracoscopy in patients with primary spontaneous pneumothorax: a 10-year experience. (ers-education.org)
A study by Cattarossi et al found that ultrasound was able to detect pneumothorax in all 23 affected patients. (medscape.com)
Il s'agit d'une étude transversale, monocentrique et descriptive, durant 12 mois, incluant les patients âgés d'au moins 18 ans admis en réanimation polyvalente pour un sepsis ou choc septique. (bvsalud.org)

Evidence here is changing, it seems there has been some local work which is yet to be published, but the results favour more conservative management of primary pneumothorax in most instances. (otago.ac.nz)

Spontaneous pneumothorax: time to rethink management? (nih.gov)
We reviewed our experience withthoracoscopic management of spontaneous pneumothorax. (nepjol.info)

BestBets: Does video-assisted thoracoscopic pleurectomy result in better outcomes than open pleurectomy for primary spontaneous pneumothorax? (bestbets.org)
Could staple-line reinforcement on video-assisted thoracoscopic blebectomy prevent postoperative recurrent pneumothorax? (ers-education.org)

Anatomy1

Diseases13

Chemicals and Drugs2

Analytical, Diagnostic and Therapeutic Techniques and Equipment23

Phenomena and Processes2

Anthropology, Education, Sociology and Social Phenomena1

Information Science1

Health Care6

Tension18

Traumatic7

Secondary pneumothorax2

Shortness of bre2

Right-sided pneumothorax3

Type of pneumothorax2

Iatrogenic pneumothorax2

History of spontaneous pneumothorax2

Chest23

Recurrence3

Small pneumothorax2

Bleb ruptures and causes1

Catamenial6

Tube Thoracostomy2

Symptoms8

Thoracic5

Episodes of pneumothorax2

Cysts5

Leak2

Size of pneumothorax1

Cases of pneumothorax2

Diagnosis of pneumothorax1

Pneumomediastinum2

Large pneumothorax1

Needle aspiration1

Respiratory distress2

Clinically or radiologically1

20202

Blebs or bullae1

Ruptures1

Rupture of small1

Chronic obstruc3

Pneumothoraces occur3

Obstructive1

Surgical2

Complication1

Clinical6

Findings2

Tuberculosis2

Treatment8

Young Adult2

Breath sounds1

Occurs in people2

Patients6

Conservative management of primary1

Management2

Video assisted2