Spontaneous Pneumothorax: Why Anger Management is Important

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Pulmonary Blebs vs. BullaePulmonary bleb (A), type 1bulla (B), type 2 bulla (C), and type 3 bulla (D).Note the accumulation of air between the layers of the visceral pleura in the pulmonary bleb andthe different connections to the underlying pulmonary parenchyma in B, C, and D.Lipscomb VL et al. Spontaneous Pneumothorax Caused by Pulmonary Blebs and Bullae in 12 Dogs. JAAHA 2003;39:435-445.
Treatment RecommendationsThoracocentesis:Mild pneumothorax, no continued leakage of airTube thoracostomy:>2 thoracocenteses within 24 hrs, thoracocentesis failsto resolve pneumothorax, or tension pneumothoraxThoracotomy:Failed tube thoracostomy, >2 recurrences, bullae notedFailed: pneumothorax persists > 48hrs and persistent clinical signsMedian sternotomy unless able to localizeLobectomy (focal) vs. pleurodesis (diffuse)
Page 1: Paragonvet.comImaging.consult.comSt
Page 4: Radiographic Findingsvetstreamcanis
Page 11 and 12: ObjectivesObjective one Perform imm
Page 13 and 14: Materials and Methods Two portions
Page 15 and 16: Candidate Gene Analyses Folliculin
Page 17 and 18: Recurrence, 4/15= 27% 5.8 yo, M/N,
Page 19 and 20: Alpha 1 Antitrypsin IHCa1at sub-ple
Page 21 and 22: Conclusions Focal to multifocal or
Page 23 and 24: Recommendations for SP Surgery vs.

Spontaneous Pneumothorax: Why Anger Management is Important

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