Community > General Discussion

Topic: Need Help!!
IamMewhoRU Joined Tue 11/27/07 Posts: 5814	Wed 05/21/08 08:56 PM
What role does a fistula play in the formation of a tension pneumothorax? This kind of reminds me of when I took a slug to the chest....oh wait...that was the officer slamming my chest into the back of the car

IamMewhoRU Joined Tue 11/27/07 Posts: 5814	Wed 05/21/08 08:56 PM
Sorry I flunked Spanish and French in high school but I think it sounds like a pain in the ass! Ok....ok...sorry Might wanna Gooogle that though for accuracy.....might even find diagrams UR AN IDIOT Look who's talkin'

CherrySparks212 Joined Mon 04/07/08 Posts: 964	Wed 05/21/08 08:57 PM
Sorry I flunked Spanish and French in high school but I think it sounds like a pain in the ass! Ok....ok...sorry Might wanna Gooogle that though for accuracy.....might even find diagrams UR AN IDIOT Look who's talkin' OH YEA I SAW THAT MOVIE

IamMewhoRU Joined Tue 11/27/07 Posts: 5814	Wed 05/21/08 08:57 PM
Sorry to do this but I am lost and need help... I have been researching but can't find much! How can a thoracocentesis cause an iatrogenic pneumothorax? and What role does a fistula play in the formation of a tension pneumothorax? I appreciate any and all help and guidance... A pneumothorax refers to a collection of gas in the pleural space resulting in collapse of the lung on the affected side. A tension pneumothorax is a life-threatening condition caused by air within the pleural space that is under pressure; displacing mediastinal structures and compromising cardiopulmonary function. A traumatic pneumothorax results from blunt or penetrating injury that disrupts the parietal or visceral pleura. Mechanisms include injuries secondary to medical or surgical procedures. A bronchopleural fistula (BPF) is a communication between the pleural space and the bronchial tree. Although rare, BPFs represent a challenging management problem and are associated with high morbidity and mortality. By far, the postoperative complication of pulmonary resection is the most common cause, followed by lung necrosis complicating infection, persistent spontaneous pneumothorax, chemotherapy or radiotherapy (for lung cancer), and tuberculosis. The treatment of BPF includes various surgical and medical procedures, and of particular interest is the use of bronchoscopy and different glues, coils, and sealants. Localization of the fistula and size may indicate potential benefits of surgical vs endoscopic procedures. In high-risk surgical patients, endoscopic procedures may serve as a temporary bridge until the patient’s clinical status is improved, while in other patients endoscopic procedures may be the only option. Therapeutic success has been variable, and the lack of consensus suggests that no optimal therapy is available; rather, the current therapeutic options seem to be complementary, and the treatment should be individualized. hope this helps what the ****?.....where?.....what?......whatever.... CHEATER! Just cause she has a medical dictionary

JayOhEeh Joined Tue 01/01/08 Posts: 294	Wed 05/21/08 08:58 PM
I'm not sure, But was it 1.21 Gigwatts ?! Ha ha ha! Yeah. I'm not a sciencey person. It could never work between us, Ella.

IamMewhoRU Joined Tue 11/27/07 Posts: 5814	Wed 05/21/08 08:58 PM
Sorry I flunked Spanish and French in high school but I think it sounds like a pain in the ass! Ok....ok...sorry Might wanna Gooogle that though for accuracy.....might even find diagrams UR AN IDIOT Look who's talkin' OH YEA I SAW THAT MOVIE you musta missed the sequels

SimplyElla Joined Wed 02/13/08 Posts: 7124	Wed 05/21/08 08:58 PM Edited by SimplyElla on Wed 05/21/08 09:00 PM
Ahhhh Bastet!!!! Thank you so much that helps me some!!!! I think I will be up all night figure these out! Thank you to the rest as well who tried or well umm attempted to maybe understand what I was asking help on! ha ha Beware I might have more questions on the way as well!

CherrySparks212 Joined Mon 04/07/08 Posts: 964	Wed 05/21/08 08:59 PM
Sorry I flunked Spanish and French in high school but I think it sounds like a pain in the ass! Ok....ok...sorry Might wanna Gooogle that though for accuracy.....might even find diagrams UR AN IDIOT Look who's talkin' OH YEA I SAW THAT MOVIE you musta missed the sequels HEY U ZIP IT CAT BOY OR TELL ALL UR DIRTY LIL SECRETS

w_kacy Joined Tue 01/08/08 Posts: 212	Wed 05/21/08 08:59 PM
I am not a doctor by any means but during a thoracocentesis the doctor is penetrating the chest wall and many times when you are piercing the chest wall a pneumothorax, or air in the chest cavity, can result. This is what a collapsed lung is.

IamMewhoRU Joined Tue 11/27/07 Posts: 5814	Wed 05/21/08 09:00 PM
Sorry I flunked Spanish and French in high school but I think it sounds like a pain in the ass! Ok....ok...sorry Might wanna Gooogle that though for accuracy.....might even find diagrams UR AN IDIOT Look who's talkin' OH YEA I SAW THAT MOVIE you musta missed the sequels HEY U ZIP IT CAT BOY OR TELL ALL UR DIRTY LIL SECRETS only thing dirty on this cat is the fur cause someone promised me Lasagna, Garfield , Pookie and a bath and got ****ed on ALL of it

IamMewhoRU Joined Tue 11/27/07 Posts: 5814	Wed 05/21/08 09:01 PM
I am not a doctor by any means but during a thoracocentesis the doctor is penetrating the chest wall and many times when you are piercing the chest wall a pneumothorax, or air in the chest cavity, can result. This is what a collapsed lung is. Wheeew....looks like I can cancel that order to Phillip Morris fer my Lung trusses

SimplyElla Joined Wed 02/13/08 Posts: 7124	Wed 05/21/08 09:03 PM
I am not a doctor by any means but during a thoracocentesis the doctor is penetrating the chest wall and many times when you are piercing the chest wall a pneumothorax, or air in the chest cavity, can result. This is what a collapsed lung is. Yes I know pneumothorax is air in the pleural cavity that results in complete or partial collapse of the lung.... and that iatrogenic pneumothorax means it is pneumo that is caused by a medical procedure. I just need specifics on how thoracentesis cause an iatrogenic pneumothorax... you know what I mean?

karmafury Joined Sun 11/12/06 Posts: 10156	Wed 05/21/08 09:04 PM
colopleural fistula presenting as tension pneumothorax http:/www.springerlink.com/content/13r72602r0390336/ thoracocentesis cause an iatrogenic pneumothorax http://www.chestjournal.org/cgi/content/abstract/105/4/1147?ck=nck

w_kacy Joined Tue 01/08/08 Posts: 212	Wed 05/21/08 09:05 PM
Dont be doing anything on my account now! Just remember to talk to your doctor and tell him to give it to you in plain english because sometimes they love to talk real big. Only you and your doctor can decide whats best. But I hope nothing too serious is going on with you!

SimplyElla Joined Wed 02/13/08 Posts: 7124	Wed 05/21/08 09:07 PM
Dont be doing anything on my account now! Just remember to talk to your doctor and tell him to give it to you in plain english because sometimes they love to talk real big. Only you and your doctor can decide whats best. But I hope nothing too serious is going on with you! Oh no... I am a Radiology major... and I am doing class work hun... I am healthy as a nut here...

Topsykretts Joined Wed 05/14/08 Posts: 4807	Wed 05/21/08 09:08 PM
Sorry to do this but I am lost and need help... I have been researching but can't find much! How can a thoracocentesis cause an iatrogenic pneumothorax? and What role does a fistula play in the formation of a tension pneumothorax? I appreciate any and all help and guidance... wow, wish I could help

w_kacy Joined Tue 01/08/08 Posts: 212	Wed 05/21/08 09:09 PM
If i remember correctly from my A&P classes there is a visceral pleura (inside layer) and parietal layer (inside layer) of the lungs. There is a slight vacuum in between the layers and when the lung is puntured, the vacuum is lost, the layers separate, and you get a collapsed lung. Does that help any?

w_kacy Joined Tue 01/08/08 Posts: 212	Wed 05/21/08 09:10 PM
Radiologic Tech major here to lol!

SimplyElla Joined Wed 02/13/08 Posts: 7124	Wed 05/21/08 09:17 PM
If i remember correctly from my A&P classes there is a visceral pleura (inside layer) and parietal layer (inside layer) of the lungs. There is a slight vacuum in between the layers and when the lung is puntured, the vacuum is lost, the layers separate, and you get a collapsed lung. Does that help any? Cheers to you!! Ha ha ha... Yeah but I understand that part... the two layers of the lung field but I need to find out how a fistula plays a role in creating tension pneumothorax... i know that a fistula is just a passageway connecting two areas/regions/structures that are normally not connected. I am just not understanding how a fistula causes the tension pneumo.... which is when air enters the pleural space and unable to leave and with accumulation of this air a complete collapse happens... how does a fistula have its part i guess is where my problem arises.

SimplyElla Joined Wed 02/13/08 Posts: 7124	Wed 05/21/08 09:21 PM
colopleural fistula presenting as tension pneumothorax http:/www.springerlink.com/content/13r72602r0390336/ thoracocentesis cause an iatrogenic pneumothorax http://www.chestjournal.org/cgi/content/abstract/105/4/1147?ck=nck Thanks.... sweetcakes