Derrame Pleural Flashcards

0
Q

Causas de Trasudado

A

IC( causa + FREC de derrame Pleural)
Cirrosis
Sme. Nefrótico

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1
Q

Trasudado vs. Exudado

A

Criterios de Light

Proteínas: Líq. Pl/Suero. >0.5
LDH: Líq. Pl/Suero. >0.6
LDH Líq Pl > 2/3 del límite SUP del suero

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2
Q

Derrame por IC

A

Bilateral ó - Predominio Derecho!! (Rubenstein)
No punzar!

Dar diuréticos!

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3
Q

Derrame pleural c ADA > 40UI

A

Derrame Tuberculoso

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4
Q

Causa más FREC de Quilotórax

A

Traumatismo

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5
Q

Tóracosíntesis con Líq. Lechoso

TG > 110mg%

A

Quilotórax

Colocar tubo

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6
Q

Derrame pleural con Hto > al 50% del de sangre periférica

A

Hemotórax

Si > 200 ml—-> Toracotomía

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7
Q

Criterios para realizar un TTO más invasor que la troncocentesis

-colocación de Tubo de Avenamiento Pleural

A
Líquido pleural loculado
pH del líquido plural < 7.20
Glucosa del Líquido Pleural < 60mg%
Tinción Gram o Cultivo +
Pus en espacio pleural
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8
Q

Exudado linfocitario con glucosa muy baja( <30mg%) y pH bajo

A

AR

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