Pleural Disease Flashcards
Describe the etiology of a pneumothorax
Describe the clinical presentation of a pneumothorax
Describe the treatment for a pneumothorax
Describe the etiology of a tension pneumothorax
Describe the clinical presentation of a tension pneumothorax
Resp distress, HoTN, tracheal deviation (late/rare)
Describe the treatment for a tension pneumothorax
Describe the etiology of a hemothorax
Describe the clinical presentation of a hemothorax
+/- shock, chest pain, dyspnea, cough, near syncope
Describe the treatment for a hemothorax
garden hose thoracostomy
Describe the etiology of a pleural effusion
Describe the clinical presentation of a pleural effusion
Describe the diagnostic testing for a pleural effusion
Describe the treatment for a pleural effusion
Describe the basic placement for thoracentesis
tension pneumothorax
hemothorax
pneumothorax
pneumothorax (bar code sign)
normal (seashore sign)
Describe the difference between transudate and exudate pleural effusion
Transudate = systemic cause (thin, water, straw color)
Exudate = local cause (purulent)
What are some transudate pleural effusion causes
CHF, cirrhosis, PE
What are some exudate pleural effusion causes
neoplasm, infection, PE
What is a thoracentesis and when is it indicated/contraindicated
Percutaneous drainage into vacuutainers
Indication: diagnostic, treatment, symptom relief
C/I: bleeding diathesis, cellulitis at insertion site, time
Risk of PTX, infection, bleeding
Pneumothorax
hemothorax
pleural effusion
