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A pneumothorax is an abnormal collection of air in the pleural space between the lung and the chest wall. [3] Symptoms typically include sudden onset of sharp, one-sided chest pain and shortness of breath. [2]
Contusion involves hemorrhage in the alveoli (tiny air-filled sacs responsible for absorbing oxygen), but a hematoma is a discrete clot of blood not interspersed with lung tissue. [4] A collapsed lung can result when the pleural cavity (the space outside the lung) accumulates blood or air (pneumothorax) or both (hemopneumothorax). These ...
Image shows early occurrence of tracheal deviation. Tracheal deviation is a clinical sign that results from unequal intrathoracic pressure within the chest cavity.It is most commonly associated with traumatic pneumothorax, but can be caused by a number of both acute and chronic health issues, such as pneumonectomy, atelectasis, pleural effusion, fibrothorax (pleural fibrosis), or some cancers ...
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Tension pneumothorax is an emergent condition in which air gets trapped in the space between the chest wall and the lung. This space is referred to as the pleural space. Because air can't escape from this space, the air pocket grows larger and larger, resulting in the lung collapse closest to the pneumothorax.
Atelectasis is the partial collapse or closure of a lung resulting in reduced or absent gas exchange. It is usually unilateral, affecting part or all of one lung. [2] It is a condition where the alveoli are deflated down to little or no volume, as distinct from pulmonary consolidation, in which they are filled with liquid.
If a bronchus is torn all the way around, the lung may collapse outward toward the chest wall (rather than inward, as it usually does in pneumothorax) because it loses the attachment to the bronchus which normally holds it toward the center. [6] In a person lying face-up, the lung collapses toward the diaphragm and the back. [23]
Echocardiography can assess for pericardial effusion. In tamponade, collapse of the right atrium and ventricle would be seen due to pressure in the pericardial sac. [24] 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]