Pulmonology

Pneumothorax

기흉

Air in pleural space causing lung collapse

How common
Common
Typical age
Variable age

What is it?

Core pathophysiology of Pneumothorax.

Commonly affected: Affected respiratory region

How it develops

  1. TriggerTriggering factor for Pneumothorax
  2. Local changeTissue-specific changes in respiratory system
  3. ManifestationCharacteristic respiratory features appear
  4. CourseCourse depends on treatment

Symptoms

  • DyspneaDyspnea characteristic of Pneumothorax
  • CoughVaries by pathology
  • Hypoxia or chest symptomsWith tissue injury

How it is examined

  • Auscultation/inspectionAssess breath sounds and respiratory pattern
  • PFT/oximetryPulse oximetry, PFT if needed

Imaging

Chest X-ray is first-line imaging.

  • Characteristic CXR findings

Chest CT for detailed assessment if needed.

  • CT findings

Non-surgical care

  • Targeted therapyCause-specific (antibiotics/bronchodilators/etc.)
  • Oxygen + supportiveSupplemental O2 as needed
  • Avoid triggersEliminate smoking/exposures

Conservative options are generally tried first. Medications listed here can have side effects — discuss them with your prescriber.

When surgery is considered

Refractory or surgical indication

Procedures that may be discussed

  • Surgical or procedural intervention

Outlook

Good with appropriate treatment.

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