Pleural Disease 2

Question 1

Answer 1

A. trapped lung

B. lung entrapment

Question 2

Which should you NOT drain: trapped lung or lung entrapment?

Answer 2

Trapped Lung (Don’t touch the trap!)

Question 3

Pleural fluid is exudative if cholesterol > ___.

Answer 3

55 mg/dL

Question 4

Pleural effusion from peritoneal dialysis will have a high _____.

Answer 4

glucose

Question 5

Cystic lung disease associated w/ chylothorax

Answer 5

LAM

Question 6

2 pleural fluid labs for chylothorax

Answer 6

TG >110; chylomicrons

Question 7

2 diseases associated w/ pseudochylothorax

Answer 7

RA, TB

Question 8

Lab for pseudochylothorax

Answer 8

Cholesterol >220

Question 9

Which has elevated chylomicrons: chylothorax or pseudochylothorax?

Answer 9

chylothorax

Question 10

What lab differentiates post-CABG from post-cardiac injury syndrome pleural effusion?

Answer 10

anti-myocardial Ab

Question 11

Which pleural effusion has (+) antimyocardial Ab?

Answer 11

post cardiac injury syndrome (PCIS)

Question 12

Tx for post-CABG pleural effusion

Answer 12

serial thoracentesis

Question 13

1st line Tx for post-cardiac injury syndrome (PCIS) pleural effusion

Answer 13

NSAIDs (2nd line: steroids)