Pleural Dz

Question 1

Peripneumonic pleural effusion- definition

Answer 1

fluid in the pleural space

Question 2

Peripneumonic pleural effusion- causes, fluid type, uni or bilateral

Answer 2

Non infectious causes= cirrhosis, CHF, nephrotic syndrome –> transudate
Infectious- empyema–> exudate, unilateral if infection
Cancer- hemorrhagic, bilateral

Question 3

Peripneumonic pleural effusion- complications

Answer 3

atelactasis and restriction of lung movement leading to SOB

Question 4

Peripneumonic pleural effusion- CXR

Answer 4

blunted costrophrenic edges

Question 5

Peripneumonic pleural effusion- dx

Answer 5

Dx- tap fluid and send for labs

Question 6

Pneumothorax-

Answer 6

air trapped int he pleural cavity leading to collapse of the lung

Question 7

Pneumothorax- cause

Answer 7

trauma or can be spontaneous

Question 8

Pneumothorax- types

Answer 8

Spontaneous- trachea deviates to the same side as the collapsed lung
Tension (air is trapped in the pleural space so that crushes the lung)- trachea deviates to the opposite side as the collapsed lung