Difference between revisions of "Pneumothorax"

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==General==
==General==
*[[Clinical diagnosis]] (radiology).
*[[Clinical diagnosis]] (typically by radiology) ''or'' [[autopsy]] diagnosis.


===Causes===
===Causes===
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*Secondary - underlying disease.
*Secondary - underlying disease.
**[[Emphysema]].
**[[Emphysema]].
**Bullous disease.
**[[Lung bleb|Bullous disease]].
**[[Blunt force trauma]] - esp. rib fractures.
**[[Blunt force trauma]] - esp. rib fractures.
**[[Interstitial lung disease]].{{fact}}
**[[Interstitial lung disease]].{{fact}}
**Iatrogenic.
**Iatrogenic.
**[[Lymphangioleiomyomatosis]].
**[[Lymphangioleiomyomatosis]].
**[[Birt–Hogg–Dubé syndrome]].<ref name=pmid27220747>{{Cite journal  | last1 = Furuya | first1 = M. | last2 = Yao | first2 = M. | last3 = Tanaka | first3 = R. | last4 = Nagashima | first4 = Y. | last5 = Kuroda | first5 = N. | last6 = Hasumi | first6 = H. | last7 = Baba | first7 = M. | last8 = Matsushima | first8 = J. | last9 = Nomura | first9 = F. | title = Genetic, epidemiologic and clinicopathologic studies of Japanese Asian patients with Birt-Hogg-Dubé syndrome. | journal = Clin Genet | volume = 90 | issue = 5 | pages = 403-412 | month = Nov | year = 2016 | doi = 10.1111/cge.12807 | PMID = 27220747 }}</ref>


==Sign out==
==Sign out==
<pre>
Lung (Left Upper Lobe), Resection:
    - Emphysematous changes with lung belbs/bullae.
    - Focal subpleural fibrosis and pigmented airspace macrophages.
    - NEGATIVE for significant inflammation.
    - NEGATIVE for significant interstitial fibrosis.
    - NEGATIVE for malignancy.
    - Please see comment.
Comment:
The wedge-shaped pattern of fibrotic healing seen in the pleura is typical
of spontaneous pneumothorax.
</pre>
===Alternate===
<pre>
<pre>
A. Lung, Right Upper Lobe - Apical Segment, Wedge Resection:
A. Lung, Right Upper Lobe - Apical Segment, Wedge Resection:

Latest revision as of 04:41, 19 November 2017

A normal and collapsed lung. (WC/Blausen gallery 2014)

Pneumothorax is air within the potential space between the parietal pleura and visceral pleura leading to a partial or complete collapse of the lung.

General

Causes

Sign out

Lung (Left Upper Lobe), Resection:
     - Emphysematous changes with lung belbs/bullae.
     - Focal subpleural fibrosis and pigmented airspace macrophages.
     - NEGATIVE for significant inflammation.
     - NEGATIVE for significant interstitial fibrosis.
     - NEGATIVE for malignancy.
     - Please see comment.

Comment: 
The wedge-shaped pattern of fibrotic healing seen in the pleura is typical 
of spontaneous pneumothorax.

Alternate

A. Lung, Right Upper Lobe - Apical Segment, Wedge Resection:
- Mild emphysematous changes.
- Focal subpleural fibrosis.
- NEGATIVE for significant inflammation.
- NEGATIVE for significant interstitial fibrosis.
- NEGATIVE for malignancy.
- Please see comment.

B. Lung, Right Upper Lobe - Posterior Segment, Wedge Resection:
- Mild emphysematous changes.
- Focal subpleural fibrosis.
- NEGATIVE for significant inflammation.
- NEGATIVE for significant interstitial fibrosis.
- NEGATIVE for malignancy.
- Please see comment.

Comment: 
The wedge-shaped pattern of fibrotic healing seen in the pleura is typical 
of spontaneous pneumothorax. 

The emphysema present may be a contributory factor; however, other causes 
must be excluded clinically. 

See also

References

  1. Papagiannis, A.; Lazaridis, G.; Zarogoulidis, K.; Papaiwannou, A.; Karavergou, A.; Lampaki, S.; Baka, S.; Mpoukovinas, I. et al. (Mar 2015). "Pneumothorax: an up to date "introduction".". Ann Transl Med 3 (4): 53. doi:10.3978/j.issn.2305-5839.2015.03.23. PMID 25861608.
  2. Furuya, M.; Yao, M.; Tanaka, R.; Nagashima, Y.; Kuroda, N.; Hasumi, H.; Baba, M.; Matsushima, J. et al. (Nov 2016). "Genetic, epidemiologic and clinicopathologic studies of Japanese Asian patients with Birt-Hogg-Dubé syndrome.". Clin Genet 90 (5): 403-412. doi:10.1111/cge.12807. PMID 27220747.