Pleural Diseases

Question 1

Congestive heart failure, atelectasis, cirrhosis

Answer 1

Transudative pleural effusion

Question 2

Local pleural disease, protein ratio ↑, LDH ↑, infection, malignancy, trauma

Answer 2

Exudative pleural effusion

Question 3

Tall thin males 10-30 years old

Answer 3

Primary spontaneous pneumothorax

Question 4

Penetrating injury, hyperresonance to percussion and tracheal shift to contralateral side

Answer 4

Tension pneumothorax

Question 5

Occurs in presence of underlying disease - asthma, COPD, cystic fibrosis, interstitial lung disease

Answer 5

Secondary spontaneous pneumothorax

Question 6

Small pneumothoraces < ______ of the diameter of the hemithorax will resolve spontaneously without need for chest tube placement

Answer 6

<15%

For large, > 15%, and symptomatic pneumothoraces, chest tube placement is performed

Question 7

Patients should be followed with serial CXR every ______ hours until resolved

Answer 7

24 hrs

Question 8

In a patient with malignancy is the pleural effusion transudative or exudative?

Answer 8

Exudative

Question 9

In a patient with CHF is the pleural effusion transudative or exudative?

Answer 9

Transudative

Question 10

What conditions is a right sided pleural effusion often associated with?

Answer 10

CHF or cirrhosis

Question 11

What is the main treatment for a pleural effusion?

Answer 11

Thoracentesis

Question 12

Initial treatment for all pneumothorax patients?

Answer 12

100% Oxygen

Question 13

What is the Dx? Thin young healthy male runner who develops acute onset of chest pain and dyspnea?

Answer 13

Spontaneous pneumothorax