Pleural Disease Flashcards
1
Q
Causes of unilateral PE
A
- common
- cirrhosis
- parapneumonic
- less common
- PE
- empyema
- mesothelioma
- uncommon
- TB
- Dressler’s syndrome
- asbestosis effusion
2
Q
Causes of bilateral PE
A
- common
- CHF
- malnutrition
- less common
- CVD - SLE/RA/MCTD
- viral pleuritis
- nephrotic syndrome
- uncommon
- hypothyroid
3
Q
Causes of either bilateral or unilateral pleural effusions
A
- common
- post-op
- metastasis
- trauma
- disorder below the diaphragram - ascites, pancreatitis, peritonitis
- radiation
- less common
- lymphoma
- uncommon
- chylous
- medications
4
Q
Loculations of pleureal effusion
A
- convext borders
- has to be adhesions - from inflammation or malignnacy
- exudative effusion
5
Q
Pleural thickening
A
- soft tissue thickening
- malignancy
- inflammation/fibrosis
- due to prior exudative process
- features associated with malignancy
- nodularity
- mediastinal surface involvement
6
Q
Focal pleural thickening
A
- pleural plaques
- asbestos exposure
7
Q
Diffuse pleural calcifications
A
- prior empyema
- prior hemothorax
- prior TB
8
Q
Pleural masses
A
- extra-pleural sign
- causes
- fibrous tumor of the pleura
- HOA
- hypoglycemia
- lipoma
- mets
- mesothelioma
- talcoma
- fibrous tumor of the pleura
9
Q
Only pleural mass that does not give you pleural effusion
A
metatstatic thymomoa
10
Q
Dressler’s syndrome
A
- inflammatory effusion in a few weeks after pericardial incision, or MI
- fever, chest pain
- pleural rub
- Rx: NSAIDS
