Hydropneumothorax
Hydropneumothorax | |
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| |
A hydropneumothorax with white arrow point to the lung's pleura | |
Classification and external resources | |
Specialty | pulmonology, emergency medicine |
ICD-10 | J94.8, S27.3 |
ICD-9-CM | 511.8 |
MeSH | D006872 |
Hydropneumothorax is defined as the presence of both air and fluid within the pleural space[1]. An upright chest x-ray will show air fluid levels. The horizontal fluid level is usually well defined and extends across the whole length of hemithorax.
Signs
This can be remembered by 4 'S'
- Straight line dullness
- Shifting dullness
- splash
- Sound of coin
- fullness of chest
Causes
- Iatrogenic: Introduction of air during pleural fluid aspiration in effusion
- Presence of a gas-forming organism
- Thoracic trauma
Diagnosis
Diagnosed via CXR, CT is better to outline borders of air fluid levels. However, CT has a greater radiation exposure.
References
- ↑ Clarke, Christopher; Dux, Anthony (2017). Chest X-rays for Medical Students. John Wiley & Sons. p. 82. ISBN 9781119426721. Retrieved 6 November 2017.
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