Hemothorax and Massive Hemothorax

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Questions and Answers

What is the definition of Massive Hemothorax?

  • Evacuation of 500 mL at insertion of a chest drain
  • Evacuation of 2 L at insertion of a chest drain
  • Immediate evacuation of 1.5 L at insertion of a chest drain (correct)
  • Evacuation of 1 L at insertion of a chest drain

What can cause hypoxia in Massive Hemothorax?

  • Infection in the pleural cavity
  • Presence of air in the pleural space
  • Pulmonary embolism
  • Pressure effect of the additional volume in the thorax compressing the lung and hypovolemia (correct)

What is the most common cause of Hemothorax and Massive Hemothorax?

  • Aortic dissection
  • Penetrating injury to the hilar or systemic vessels (correct)
  • Ruptured pulmonary nodules
  • Blunt injury with rib fractures

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