pleural aspiration/biopsy Flashcards
1
Q
Pleural aspiration equipment
A
50ml Syringe
50 G needle
sterile containers-which are universal
blood culture bottles
2
Q
look and smell results
A
Foul smell/ Pus- empyema Milky-Chylothorax Blood stained- malignancy Bloody- Haemothorax/trauma Food particles- oesophageal rupture
3
Q
Biochemistry results
A
-Protein level shows whether it is a transudate or exudate
-Glucose levels lower than 3.3mMol can indicate
Empyema
Rheumatoid arthritis
TB
Malignancy
Lupus
4
Q
Blood gas analysis
A
If Ph is <7.2 chest drain needs to be inserted
5
Q
Microbiology
A
Will show
- malignant cells
- lymphocytes
- Eosonophils
6
Q
Pleural biopsy equipment and where is the needle inserted
A
Abram’s needle if blind
Try-Cut needle if CT guided
inserted just above the rib to avoid the neurovascular bundle
7
Q
How many biopsies and where are they sent
A
At least 4:
- 3 to histology
- 1 to microbiology if Tb suspected
