A Refresher on Pneumothorax

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Question 1 of 3

1. Question
What history is essential to take from her to ascertain the aetiology of her condition?
- Last menstrual period (LMP), use of cannabis, crack cocaine, smoking history, respiratory history, when she last went scuba diving.
- If she is a recreational runner, use of crack cocaine, smoking history, respiratory history, when she last went scuba diving.
- Use of cannabis, crack cocaine, MDMA, smoking history, respiratory history, when she last went scuba diving.
- Is she pregnant, use of cannabis, crack cocaine, smoking history, respiratory history, when she last went scuba diving.
- Has she taken a recent flight, use of cannabis, crack cocaine, smoking history, respiratory history, when she last went scuba diving.
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Question 2 of 3

2. Question
Which management option would be the best for her?
- Ambulatory chest drain
- Conservative management
- Needle aspiration
- Admission under thoracics for surgery
- Inpatient chest drain
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Question 3 of 3

3. Question
She is keen to be considered for an operation, but your nearest thoracic centre is several hours away. She asks you to aspirate the pneumothorax in the first instance to relieve her current symptoms. You start to consent her, what would you tell her?
- Conservative management leads to the least risk of recurrence compared to aspiration and chest drain insertion.
- Length of stay after aspiration is the same as after chest drain insertion.
- Recurrence of pneumothorax is more likely after chest drain insertion than after aspiration.
- The risk of subcutaneous emphysema is greater with needle aspiration than intercostal drain insertion.
- The rate of hospital re-admission is greater following an ambulatory chest drain insertion compared to those who have an inpatient drain.
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A Refresher on Pneumothorax

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