Dr. Schiffman received his B.S. degree with High Honors in biology from Hobart College in 1976. He then moved to Chicago where he studied biochemistry at the University of Illinois, Chicago Circle. He attended Rush Medical College where he received his M.D. degree in 1982 and was elected to the Alpha Omega Alpha Medical Honor Society. He completed his Internal Medicine internship and residency at the University of California, Irvine.
Melissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler's educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.
A pneumothorax is a collection of free air in the chest
outside the lung that causes the lung to collapse.
What are the types of pneumothorax?
A spontaneous pneumothorax, also referred to as a primary
pneumothorax, occurs in the absence of a traumatic injury to the chest or a
known lung disease. A secondary (also termed complicated) pneumothorax occurs as
a result of an underlying condition.
What causes a pneumothorax?
Spontaneous pneumothorax is caused by a rupture of a cyst or a small sac (bleb) on the surface of
the lung. Pneumothorax may also occur following an injury to the chest wall such
as a fractured rib, any penetrating injury (gun shot or stabbing), surgical
invasion of the chest, or may be deliberately induced in order to collapse the
lung. A pneumothorax can also develop as a result of underlying lung diseases,
including cystic fibrosis, chronic obstructive pulmonary disease (COPD), lung
cancer, asthma, and infections of the lungs.
Who is at risk for pneumothorax?
Spontaneous pneumothorax affects about 9,000 persons each year in the U.S. who have no history of lung disease. This type of pneumothorax is most common in men between the ages of 20 and 40, particularly in tall, thin men. Smoking has been shown to increase the risk for spontaneous pneumothorax.
Chest pain is a common complaint by a patient in the ER. Causes of chest pain include broken or bruised ribs, pleurisy, pneumothorax, shingles, pneumonia, pulmonary embolism, angina, heart attack, costochondritis, pericarditis, aorta or aortic dissection, and reflux esophagitis. Diagnosis and treatment of chest pain depends upon the cause and clinical presentation of the patient's chest pain.
COPD (chronic obstructive pulmonary disease) is a disorder that persistently obstructs bronchial airflow. COPD mainly involves three related conditions, chronic bronchitis, chronic asthma, and emphysema. Symptoms of COPD include chronic cough, shortness of breath, frequent respiratory infections, wheezing, morning headaches, and pulmonary hypertension. Treatment of COPD is focused on the related condition(s).
Pleurisy, an inflammation of the lining around the lungs, is associated with sharp chest pain upon breathing in. Cough, chest tenderness, and shortness of breath are other symptoms associated with pleurisy. Pleurisy pain can be managed with pain medication and by external splinting of the chest wall.
Cystic fibrosis is a disease of the mucus and sweat glands. Cystic fibrosis is an inherited disease. The outcome of the disease leaves the body malnourished, bulky and fouls smelling stools, vitamin insufficiency, gas, painful or swollen abdomen, infertility, susceptible to heat emergencies, and respiratory failure. There is no cure for cystic fibrosis, treatment of symptoms is used to manage the disease.
Pulmonary edema (swelling or fluid in the lungs) can either be caused by cardiogenic causes (congestive heart failure, heart attacks, abnormal heart valves) or noncardiogenic causes such as ARDS, kidney failure, high altitude, pneumothorax, pleural effusion, aspirin overdose, pulmonary embolism, and infections. The treatment of pulmonary edema depends on the cause of the condition.
Pleural effusion is an excess fluid between the two membranes that envelop the lungs. There are two classifications of causes of pleural effusion; transudate and exudate. The treatment of pleural effusion depends on the cause.
Chronic bronchitis is a cough that occurs daily with production of sputum that lasts for at least three months, two years in a row. Causes of chronic bronchitis include cigarette smoking, inhaled irritants, and underlying disease processes (such as asthma, or congestive heart failure). Symptoms include cough, shortness of breath, and wheezing. Treatments include bronchodilators and steroids. Complications of chronic bronchitis include COPD and emphysema.
A chest X-ray is a radiology test that involves exposing the chest briefly to
radiation to produce an image of the chest and the internal organs of the chest.
An X-ray film is positioned against the body opposite the camera, which sends
out a very small dose of a radiation beam. As the radiation penetrates the body,
it is absorbed in varying amounts by different body tissues depending on the tissue's composition of air, water, blood, bone, or muscle. Bones, for
example, absorb much of the X-ray radiation while lung tissue (which is filled with
mostly air) absorbs very little, allowing most of the X-ray beam to pass through
the lung.
What is a shadow on a chest X-ray?
Due to the differences in their composition (and, therefore, varying degrees
of penetration of the X-ray beam), the lungs, heart, aorta, and bones of the
chest each can be distinctly visualized on the chest X-ray. The X-ray film
reco...
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