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Case Report Respirology Mo (English)
Case Report Respirology Mo (English)
Pneumothorax sinistra
Lung tumor suspected
O2 2 l/min, IVFD D5%, O2 2 l/min, IVFD D5%, IVFD D5%, IVFD D5%,
Ceftriaxon 2x1g/iv, Ceftriaxon 2x1g/iv, Ceftriaxon 2x1g/iv, Ceftriaxon 2x1g/iv,
Ketorolac 2x10mg/iv, Ketorolac 2x10mg/iv, Ketorolac 2x10mg/iv, Ketorolac 2x10mg/iv,
Therapy
Ranitidine 2x25mg/iv, Ranitidine 2x25mg/iv, Ranitidine 2x25mg/iv, Ranitidine 2x25mg/iv,
stop oral intake Usual diet ATD day 1, Usual diet ATD day 2, Usual diet
Planning: WSD 1st day WSD attached 2nd day WSD attached 3rd day WSD attached
Laboratory Tuberculin test (done) CBC Thorax X-ray control Planning: Stop WSD
Chest X-ray control:
Pneumothorax
Laboratory Tuberculin test (+) sinistra dissapear
- -
result induration 30 mm Specific bilateral
pneumonia infection
Nov 18th Nov 19th Nov 20th Nov 21th
(6th day) (7th day) (8th day) (9th day)
Complaint - - - -
Active, retraction (-), Active, retraction (-), Active, retraction (-), Active, retraction (-),
Physical chest movement normal, chest movement normal, chest movement normal, chest movement normal,
examination BS normal, crackles on BS normal, crackles on BS normal, crackles on BS normal, crackles on
both lung both lung both lung both lung
Laboratory - - - -
Laboratory
- - - -
result
Nov 22th Nov 23th Nov 24th Nov 25th
(10th day) (11th day) (12th day) (13th day)
IVFD stop,
Stop intravenous drug
Therapy - - -
ATD day 7
Usual diet
Laboratory - - - -
Laboratory
- - - -
result
Left secondary spontaneous pneumothorax
Lung tuberculosis
Under nourish
Qua ad vitam : ad bonam
Qua ad sanationam : ad bonam
Pair of spongy, air-filled organs.
Located on either side of the chest
Trachea conduct inhaled air into the lungs through its bronchi
The bronchi than divide into smaller branches called bronchioles
Finally become microscopic air sac called alveoli
The lung covered by a thin tissue layer called pleura
The presence of air or gas
in the pleural cavity
(ie, the potential space
between the visceral and
parietal pleura of the lung),
which can impair
oxygenation and/or
ventilation.
It is every pneumothorax
that occurs suddenly.
This type of pneumothorax
can be classified into two
types; primary
pneumothorax and
secondary pneumothorax.
It is one that occurs
without an apparent cause
and in the absence of
significant lung disease.
It is one that occurs in the
presence of existing
lung pathology
(i.e. Lung tuberculosis)
It is every pneumothorax
that resulted from trauma,
either blunt or penetreting
trauma, which cause
tearing of the pleura, chest
wall and lung. So that air
enters directly into the
pleural cavity.
PNEUMOTHORAX
SPONTANEOUS TRAUMATIC
Tension
Primary Non Iatrogenic
Pneumothorax
Secondary Iatrogenic
18 per 100,000 men / year
6 per 100,000 women / year
Secondary spontaneous
pneumothorax is a rare case
and its occurs at any age
(neonates, children, adult)
British Thoracic Society 2012
8 cm
6 cm
Amount of air in pleural cavity
Size of collapse lung
Ribs
Intercostal
muscles
Parietal pleura
Conditions requiring chest drainage
Blood in the pleural space is a hemothorax
Conditions requiring chest drainage
Transudate or exudate in the pleural space is a pleural effusion
Conditions requiring chest drainage: tension pneumothorax