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Pneumothorax and Chest Tube Problems

Pneumothorax and Chest Tube Problems

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Primary Spontaneous<br />

<strong>Pneumothorax</strong><br />

• Symptoms <strong>and</strong> signs<br />

– Sudden onset chest pain<br />

– Shortness of breathing<br />

– Non-productive cough<br />

• Physical examination<br />

– Decrease in chest wall movement on inspection<br />

– <strong>Chest</strong> cavity hyperesonant <strong>and</strong> tympanic on percussion<br />

– Decrease breath sounds on auscultation<br />

• Diagnosis—CXR<br />

• Differential diagnosis<br />

– Skin fold<br />

– Giant bulla

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