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Catamenial pneumothorax is a spontaneous pneumothorax that recurs during menstruation, within 72 hours before or after the onset of a cycle. [1] It usually involves the right side of the chest and right lung, and is associated with thoracic endometriosis . [ 2 ]
Treatment is determined by the severity of symptoms and indicators of acute illness, the presence of underlying lung disease, the estimated size of the pneumothorax on X-ray, and – in some instances – on the personal preference of the person involved. [15] In traumatic pneumothorax, chest tubes are usually inserted.
A chest X-ray can rapidly identify a pneumothorax, seen as absence of lung markings. Ultrasound can show the lack of lung sliding. However, imaging should not delay treatment. [8] CT angiography is the standard of diagnosis of pulmonary embolism. Clots appear in the vasculature as filling defects. [18]
Other conditions that can produce similar symptoms include pericarditis, heart attack, cholecystitis, pulmonary embolism, and pneumothorax. [3] Diagnostic testing may include a chest X-ray, electrocardiogram (ECG), and blood tests. [3] [6] Treatment depends on the underlying cause. [3]
The diagnosis can be confirmed via chest X-ray showing a radiolucent outline around the heart and mediastinum or via CT scanning of the thorax. [ citation needed ] Pneumomediastinum and right sided pneumothorax post first rib fracture in a mountain biking accident.
On chest x-ray, the most frequent sign is air trapping that can lead to a mediastinal shift. Atelectasis and pneumothorax may also occur in the setting of foreign body aspiration. The diagnosis is made in conjunction with clinical symptoms and confirmed and treated with bronchoscopy. [22]
Chest x-ray: Specialty: Critical care medicine: Symptoms: Shortness of breath, rapid breathing, bluish skin coloration, chest pain, loss of speech [1] Complications: Blood clots, Collapsed lung (pneumothorax), Infections, Scarring (pulmonary fibrosis) [2] Usual onset: Within a week [1] Diagnostic method: Adults: PaO 2 /FiO 2 ratio of less than ...
A chest X-ray showing right sided (seen on the left of the picture) pulmonary contusion associated with rib fractures and subcutaneous emphysema. Chest X-ray is the most common method used for diagnosis, [37] and may be used to confirm a diagnosis already made using clinical signs. [20] Consolidated areas appear white on an X-ray film. [42]