Pleura Patho

Question 1

Accumulation of air in the pleural space —-

Answer 1

Pneumothorax

p-98

Question 2

Tension pneumothorax cause ?

Answer 2

Penetrating chest wall injury

p-98

Question 3

Spontaneous pneumothorax cause ??

Answer 3

Rupture of an emphysematous bleb

Question 4

Result of spontaneous pneumothorax ?

Answer 4

1. Collapse of a portion of the lung
2. Trachea shift to the side of injury

p-98

Question 4

Tx of tension pneumothorax?

Answer 4

Insertion of a chest tube

Question 5

Malignant neoplasm of mesothelial cells –

Answer 5

Mesothelioma

Question 6

Tension pneumopthorax result’s in —

Answer 6

Air enters the pleural space , cannot exit
Trachea is opposite to the side of injury

p-98

Question 7

Clinical features of mesothelioma ??

Answer 7

1. Dyspnea
2. Chest pain
3. Recurrent pleural effusion
4. Tumor encases the lung

p-98

Question 8

Primary spontaneous pneumothorax cause ?

Answer 8

Large change in the alveolar and intrapleural pressure

UWorld

Question 9

Lung apex extension ??

Answer 9

Above the level of clavicle and 1st rib through the superior thoracic aperture

UW

Question 9

Result of primary spontaneous pneumothorax ?

Answer 9

1. Break in the viseral pleura
2. Ruptured superficial bleb
3. Air trapping between pleural space

UWorld

Question 10

Cause of tension pneumothorax ?

Answer 10

Progressively increasing intrapleural pressure —- contralateral mediastinal shifting - Tracheal deviation — Vena cava collapse

UW

Question 11

Injury in the apex of the lung causes—

Answer 11

1. Pneumothorax
2. Tension P
3. Hemothorax

Question 12

Traumatic pneumothorax cause ??

2 cause

Answer 12

1. Puncture of chest wall=Penetrating chest trauma
2. Lung=Fractured ribs

UWorld

Question 13

Spontaneous P association ?

Answer 13

Cystic fibrosis
Alveolar rupture
Loss of intrapleural - pressure

Question 13

Physical examination result of Pneumothorax ?

Answer 13

1. dec Tractile fremitus
2. dec Breath sound
   3.Percussion - Hyperresonance

UWorld

Question 13

CXR recognization of pneumothorax ??

Answer 13

Continuos line without lung amrkings peripheeral to it

UWorld

Question 13

Traumatic pneumothorax clinical features ???

Answer 13

1. Crepitus
2. Chest pain
3. Difficulty in breathing

UWorld

Question 14

Clinical features of S P ?

Answer 14

Dec breath sound
Shortness of breath
Crepitus

UWorld

Question 15

Suggestion of development of tension p from Spontaneous p is —-

Answer 15

Hypotension
Tachycardia

UWorld

Question 16

Opposite pressure system in lung —

Answer 16

Lung = Exert collapsing force
Chest wall = Exert Expanding force
Opposite force
Equilibrium at the Functional Residual Capacity-FRC —————- (-) intrapleural pressure