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Template:Pneumothorax diagnosis
From WikEM
Clinically Stable
Defined as having all of the following:
- Resp rate < 24
- Heart rate 60-120 beats per minute
- Normal BP
- SaO2 >90% on room air and patient can speak in whole sentences
Workup
- CXR
- Displaced visceral pleural line without lung markings between pleural line and chest wall
- Upright is best
- Expiratory films DO NOT improve accuracy[1]
- Supine CXR = deep sulcus sign
- CT Chest
- Very sensitive and specific
- Ultrasound
- NO comet tail artifact
- No sliding lung sign
- Bar Code appearance on M-mode (absence of "seashore" waves)
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