NEUROLOGY
SURGERY
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Question
[CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
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Pneumothorax
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Flail chest
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ARDS
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Tension pneumothorax
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Detailed explanation-1: -Paradoxical movement is an obvious sign that the portion of the chest wall is not assisting with the breathing function. Other symptoms of flail chest can include: Bruises, grazes, and/or discoloration in the chest area. Telltale markings from a seat belt.
Detailed explanation-2: -The priority for any chest trauma client is airway, breathing, circulation. The nurse first ensures the client has a patent airway.
Detailed explanation-3: -The characteristic paradoxical motion of the flail segment occurs due to pressure changes associated with respiration that the rib cage normally resists: During normal inspiration, the diaphragm contracts and intercostal muscles pull the rib cage out.
Detailed explanation-4: -Pneumothorax with Tension The following are features unique to tension pneumothorax: Mediastinum gets pushed to opposite side. Diaphragm gets pushed downward resulting in decreased diaphragmatic excursion. In extreme cases it becomes concave upwards resulting in paradoxical movement with respiration.