What Is The Difference Between Pneumothorax And Tension Pneumothorax?
Pneumothorax can be divided in to spontaneous primary pneumothorax , self-generated secondary pneumothorax , traumatic open pneumothorax , traumatic shut pneumothorax and iatrogenic pneumothorax . All of these pneumothoraxes can progress into tenseness pneumothorax when the respiration and blood circulation is significantly affected . Out of this traumatic and iatrogenic are the independent intellect for latent hostility pneumothorax . Pneumothorax and tension pneumothorax can not be clearly diagnose by clinical feature , but the presence of hypoxemia , hypotension and going of consciousness is more revelatory of tension pneumothorax . Tension pneumothorax is a clinical diagnosing .
Pneumothorax is air in the pleural blank space . Pneumothorax is a broad category , it can be further subdivided into :
Pneumothorax
Pneumothorax is melody in the pleural space .
Pneumothorax is a unsubtle class , it can be further subdivided into :
Spontaneous pneumothorax
Traumatic pneumothorax
Iatrogenic
Pneumothorax which occur due to a complicatedness in a operating theater , medical treatment or investigation .
There are several campaign / jeopardy factor for each category of pneumothorax .
Primary self-generated pneumothorax
Risk factor
Secondary ad-lib pneumothorax
Open traumatic pneumothorax
Penetrative injuries to the chest with an open wound
closed in traumatic pneumothorax
Blunt injury to the breast wall without any open wound in the chest ( for example plainspoken trauma causing rib fracture which lacerate the pleura ) .
symptom and signs of pneumothorax
The clinical status depends on the extent of the pneumothorax
Investigations
Tension Pneumothorax
Tension pneumothorax is the progressive build - up of breeze within the pleural place . A tension pneumothorax develop when a ‘ one - way valve ‘ is create and breeze leak occurs either from the lung or through the chest rampart . Due to the valve effect tune will be stuck inside the pleural space without any means of escape .
ad-lib , traumatic and iatrogenic pneumothorax can progress into tenseness pneumothorax when the internal respiration and roue circulation is significantly impaired .
All the causes of pneumothorax can have tension pneumothorax , vernacular causes are traumatic and iatrogenic pneumothorax .
Same symptoms and polarity of pneumothorax will be present , but the symptom and star sign are more singular and patient is severely sick .
There can be more symptoms and sign present other than the 1 cite
It is really difficult clearly delimit what are the clinical features of pneumothorax and tension pneumothorax . But if the patient role has hypoxemia , hypotension and fall tier of consciousness it is more suggestive of tautness pneumothorax .
Tension pneumothorax is a clinical diagnosis and treatment can be continued without any investigation in a strongly surmise latent hostility pneumothorax for preserve the affected role ’s spirit . However , investigations can be done if readily available ( e.g. chest X ray ) . translation of the mediastinum usually indicates tension pneumothorax .
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