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CHEST SURGICAL PATHOLOGY X-RAY 2.5

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CHEST SURGICAL PATHOLOGY X-RAY 2.5 Powered By Docstoc
					Rt. side tension
pneumothorax
  in an infant




                   Index
     Tension Pneumothorax




12                          © Vascular 2007
             Index
   Emergency treatment of tension pneumothorax




Needle decompression (thoracostomy) with large-bore needle in the
second intercostal space in the midclavicular line to convert the tension
pneumothorax into a simple pneumothorax, then prepare for intercostal
tube insertion
This simple procedure can save the patient’s life
 13                                                               © Vascular 2007
                                                                        Index
Severe Rt. tension     Mechanism:
                       The air enters to the pleural
pneumothorax           space and cannot escape
                       The intrapleural pressure
                       increases and the lung becomes
                       collapsed with secondary shift of
                       the mediastinal contents to the
                       opposite side.




 14                                           © Vascular 2007
                     Index        After treatment
     Pleural Effusion



15                      © Vascular 2007
           Index
Rt. pleural effusion
                          oFlat opacified line
                          at the right
                          hemidiaphragm
                          with obliteration of
                          the costo-phrenic
                          angle

                          oThe right middle
                          lobe fissure is
                          more sharply
                          visible which tends
                          to occur when
                          (there is fluid in
                          that fissure)
16                                  © Vascular 2007
                  Index
Lt. pleural effusion
                          oThe left base is
                          showing a
                          curved density in
                          place of the
                          normally convex
                          diaphragm.

                          oThat curvature
                          is characteristic
                          of a pleural
                          effusion


17                                 © Vascular 2007
                  Index
     Lt. pleural effusion




18                          © Vascular 2007
            Index
  Lt. massive
pleural effusion




                                     Normal

                    Massive effusions usually
                     have an accompanying
                     mediastinal shift to the
                       contralateral side
                    If a massive effusion does not shift the
                   mediastinum, suspect malignant effusion
                        where the mediastinum is fixed.

                                                     Index
Massive Lt. pleural effusion




20                             © Vascular 2007
                Index

				
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Description: CHEST SURGICAL PATHILOGY ,X-RAY LEARN