Pneumothorax diagnostic study of choice: Difference between revisions

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Latest revision as of 20:11, 2 March 2018

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Hamid Qazi, MD, BSc [2]

Overview

As the course of pneumothorax is very rapid and can easily become complicated, the best way to diagnose pneumothorax is based on clinical findings, including history and physical examination. A CT scan can is the most sensitive test for pneumothorax. Tension pneumothorax is a medical emergency and should be treated promptly after the physical exam.

Diagnostic Study of Choice

Study of choice:

As the course of pneumothorax is very rapid and can easily become complicated, the best way to diagnose pneumothorax is based on clinical findings, including history and physical examination.^[1]
Investigations:
- Among patients who present with clinical signs of pneumothorax, the CT scan is the most efficient test for diagnosis.

Diagnostic Criteria

There are no established criteria for the diagnosis of pneumothorax.

References

↑ Tsotsolis N, Tsirgogianni K, Kioumis I, Pitsiou G, Baka S, Papaiwannou A; et al. (2015). "Pneumothorax as a complication of central venous catheter insertion". Ann Transl Med. 3 (3): 40. doi:10.3978/j.issn.2305-5839.2015.02.11. PMC 4356862. PMID 25815301.

Template:WH Template:WS

[pmid25815301-1] Tsotsolis N, Tsirgogianni K, Kioumis I, Pitsiou G, Baka S, Papaiwannou A; et al. (2015). "Pneumothorax as a complication of central venous catheter insertion". Ann Transl Med. 3 (3): 40. doi:10.3978/j.issn.2305-5839.2015.02.11. PMC 4356862. PMID 25815301.

[1]

@@ Line 3: / Line 3: @@
 {{CMG}}; {{AE}} {{HQ}}
 == Overview ==
+As the course of pneumothorax is very rapid and can easily become complicated, the best way to diagnose pneumothorax is based on clinical findings, including history and physical examination. A [[Computed tomography|CT scan]] can is the most sensitive test for pneumothorax. Tension pneumothorax is a medical emergency and should be treated promptly after the physical exam.
 == Diagnostic Study of Choice ==
-===== Template statements =====
 === Study of choice: ===
-* [Name of the investigation] is the gold standard test for the diagnosis of [disease name].
+*As the course of pneumothorax is very rapid and can easily become complicated, the best way to diagnose pneumothorax is based on clinical findings, including history and physical examination.<ref name="pmid25815301">{{cite journal| author=Tsotsolis N, Tsirgogianni K, Kioumis I, Pitsiou G, Baka S, Papaiwannou A et al.| title=Pneumothorax as a complication of central venous catheter insertion. | journal=Ann Transl Med | year= 2015 | volume= 3 | issue= 3 | pages= 40 | pmid=25815301 | doi=10.3978/j.issn.2305-5839.2015.02.11 | pmc=4356862 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25815301  }} </ref>
-* The following result of [gold standard test] is confirmatory of [disease name]:
-** Result 1
-** Result 2
-* The [name of the investigation] should be performed when:
-** The patient presented with symptoms/signs 1. 2, 3.
-** A positive [test] is detected in the patient.
-* [Name of the investigation] is the gold standard test for the diagnosis of [disease name].
-* The diagnostic study of choice for [disease name] is [name of the investigation].
-* There is no single diagnostic study of choice for the diagnosis of [disease name].
-* There is no single diagnostic study of choice for the diagnosis of [disease name], but [disease name] can be diagnosed based on [name of the investigation 1] and [name of the investigation 2].
-* [Disease name] is mainly diagnosed based on clinical presentation.
 * Investigations:
-** Among patients who present with clinical signs of [disease name], the [investigation name] is the most specific test for the diagnosis.
+** Among patients who present with clinical signs of pneumothorax, the [[Computed tomography|CT scan]] is the most efficient test for diagnosis.
-** Among patients who present with clinical signs of [disease name], the [investigation name] is the most sensitive test for diagnosis.
-** Among patients who present with clinical signs of [disease name], the [investigation name] is the most efficient test for diagnosis.
-==== The comparison table for diagnostic studies of choice for [disease name] ====
-{|
-|- style="background: #4479BA; color: #FFFFFF; text-align: center;"
-! style="background: #FFFFFF; color: #FFFFFF; text-align: center;" |
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Sensitivity
-! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Specificity
-|-
-! style="background: #696969; color: #FFFFFF; text-align: center;" |Test 1
-| style="background: #DCDCDC; padding: 5px; text-align: center;" |✔
-| style="background: #DCDCDC; padding: 5px; text-align: center;" |...%
-|-
-! style="background: #696969; color: #FFFFFF; text-align: center;" |Test 2
-| style="background: #DCDCDC; padding: 5px; text-align: center;" |...%
-| style="background: #DCDCDC; padding: 5px; text-align: center;" |✔
-|}
-<small> ✔= The best test based on the feature </small>
-===== Diagnostic results =====
-The following result of [investigation name] is confirmatory of [disease name]:
-* Result 1
-* Result 2
-===== Sequence of Diagnostic Studies =====
-The [name of investigation] should be performed when:
-* The patient presented with symptoms/signs 1, 2, and 3 as the first step of diagnosis.
-* A positive [test] is detected in the patient, to confirm the diagnosis.
 === Diagnostic Criteria ===
-* Here you should describe the details of the diagnostic criteria.
+*There are no established criteria for the diagnosis of pneumothorax.
-*Always mention the name of the criteria/definition you are about to list (e.g. modified Duke criteria for the diagnosis of endocarditis / 3rd universal definition of MI) and cite the primary source of where this criteria/definition is found.
-*Although not necessary, it is recommended that you include the criteria in a table. Make sure you always cite the source of the content and whether the table has been adapted from another source.
-*Be very clear as to the number of criteria (or threshold) that needs to be met out of the total number of criteria.
-*Distinguish criteria based on their nature (e.g. clinical criteria / pathological criteria/ imaging criteria) before discussing them in details.
-*To view an example (endocarditis diagnostic criteria), click [[Endocarditis diagnosis|here]]
-*If relevant, add additional information that might help the reader distinguish various criteria or the evolution of criteria (e.g. original criteria vs. modified criteria).
-*You may also add information about the sensitivity and specificity of the criteria, the pre-test probability, and other figures that may help the reader understand how valuable the criteria are clinically.
-* [Disease name] is mainly diagnosed based on clinical presentation. There are no established criteria for the diagnosis of [disease name].
-* There is no single diagnostic study of choice for [disease name], though [disease name] may be diagnosed based on [name of criteria] established by [...].
-* The diagnosis of [disease name] is made when at least [number] of the following [number] diagnostic criteria are met: [criterion 1], [criterion 2], [criterion 3], and [criterion 4].
-* The diagnosis of [disease name] is based on the [criteria name] criteria, which includes [criterion 1], [criterion 2], and [criterion 3].
-* [Disease name] may be diagnosed at any time if one or more of the following criteria are met:
-** Criteria 1
-** Criteria 2
-** Criteria 3
-IF there are clear, established diagnostic criteria:
-*The diagnosis of [disease name] is made when at least [number] of the following [number] diagnostic criteria are met: [criterion 1], [criterion 2], [criterion 3], and [criterion 4].
-*The diagnosis of [disease name] is based on the [criteria name] criteria, which include [criterion 1], [criterion 2], and [criterion 3].
-*The diagnosis of [disease name] is based on the [definition name] definition, which includes [criterion 1], [criterion 2], and [criterion 3].
-IF there are no established diagnostic criteria:
-*There are no established criteria for the diagnosis of [disease name].
 ==References==