Neumotórax a la placa de torax — R. Clásicamente se observa separación de pleura visceral de parietal. En el espacio se observa aumento de radio lucidez ( al perderse las marcas vasculares pulmonares ). En el N. a tensión hay: Ensanchamiento de espacios intercostales Colapso completo del pulmón y desviación de línea media.

Proyección Rx. Tórax AP o PA ¿Cuál mes la ideal? ¿qué complicaciones tienen?

Complicación de la toma de Rx. tórax AP

¿Cómo de debe leer la radiografía ?

Pared tx. ¿Qué se evalúa?

Fracturas tx. de alto impacto R. Fracturas escapulares y de costillas superiores

¿A qué se relacionan las fracturas de las costillas superiores ? R A lesiones de grandes vasos Si hay fractura de la 1ra costilla toca pensar en esto

¿Dónde se presentan por lo general las fracturas de clavícula ? R. Al tercio medio de la clavícula, se caracteriza por que su tercio más proximal por acción de los musc. hace que se desplace hacia arriba y el distal hacia abajo.

Fracturas costales inferiores ¿cuál es su principal complicación? R. pueden causar daño hepático, esplénico , o renal.

¿Qué se revisa en el parénquima pulmonar ? R. Lacerasiones pulmonares con la presencia de neumo o hemo - tórax.

¿Cuál es la principal complicación de la ruptura diafragmática ? R. Puede haber paso de visceras abdom. hacia la tx.

¿Cómo se observa una ruptura diafragmática con paso de vísceras en la cavidad tx? 1. Elevación diafragmática 2. presencia de órganos abdo. en la cavidad tx. 3. La más común : Presencia de irregularidad del contorno diafragmática.

En la primera placa de tx. NUNCA se observa la alteración diafragmara. Verdadero/ Falso R. Falso Estaría mal decir que nunca a pesar de que lo más común es que no sea a la primera placa que se observe. Sin embargo en placas posteriores se pueden observar hallazgos como la protrución visceral.

¿Qué es ?

Evaluación Pleural Neumotorax ¿Qué es? R. Se produce por trauma penetrante que genera entrada de aire a nivel pleural.

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