Spontaneous Pneumothorax

OʼHara, Vincent S.

doi:10.1093/milmed/143.1.32

Cited by 31 publications

(20 citation statements)

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“…3 Though like our patient, the dyspnoea in PSP is often less marked than expected from the radiological changes and therefore, diagnosis is often delayed by several days. 8 Furthermore, and in contrast to logical thinking, PSP is not normally set off by strenuous exertion but rather like our patient most commonly occurs at rest. 9 Therefore in spite of characteristic clinical signs; hyper-resonance, decreased breath sound and reduced lung expansion on the affected side, guidelines acknowledge that initial diagnosis can be difficult and often imaging is required.…”

Section: Discussionmentioning

confidence: 57%

Sudden Onset Dyspnea; Are We in Danger of Being Ageist with Our Diagnostic Sieve?

Chadwick¹

2016

JLPRR

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Pneumothorax is a common presentation to both emergency and respiratory departments alike. Typically primary spontaneous pneumothorax (PSP) is taught as a disease of young, male patients with a mean age at presentation of approximately 30years. We present a case of an 87year old patient presenting with her first pneumothorax. Detailed history, lung function and radiology confirmed this was not secondary to underlying lung disease but rather true PSP. The existence of PSP in the elderly is acknowledged, albeit rarely, to occur within previous epidemiological studies though we believe that our patient is the oldest person to feature in a published case report confirming this. Furthermore, our patient provides an important clinical lesson for respiratory diagnosticians as our admitting team, in the face of classical symptoms and signs, did not even consider pneumothorax as a possible diagnosis. Indeed, our patient provides a stark warning of inherent ageism blinding our diagnostic approach.

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Section: Discussionmentioning

confidence: 57%

Sudden Onset Dyspnea; Are We in Danger of Being Ageist with Our Diagnostic Sieve?

Chadwick¹

2016

JLPRR

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“…1 The majority of cases of spontaneous pneumothorax are unassociated with physical exertion. 2,3,4 If a pneumothorax is suspected clinically, but not detected on a standard inspiratory film, then two procedures may be used to conform the diagnosis. In the first chest radiograph is taken on expiration, this has the effect of reducing the volume of both the thorax and the partially deaerated lung.…”

Section: Discussionmentioning

confidence: 99%

Minimal Pneumothorax Chest Postero Anterior View vs Opposite Lateral Decubitus View

Chaitanya¹,

Waghray²,

Reddy³

et al. 2015

jemds

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Pneumothorax is a life threatening condition, which can be massive or minimal, usually can be detected on chest x-ray posteroanterior view, but minimal pneumothorax will be difficult to diagnose on chest x-ray posteroanterior view even in expiratory film, as collapsed lung border can be behind the rib density. In such conditions, opposite lateral decubitus view will be helpful in diagnosing minimal pneumothorax. Details are given below.

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“…According to O'Hara (1978), many patients did not seek medical advice for several days despite symptoms; nearly, the half of patients (46%) waited for more than 2 days before presentation. The average admission time of 1.45 ± 1.24 days in our series is compatible with the literature, although it seems late for a sudden onset disease.…”

Section: Discussionmentioning

confidence: 99%