PLEURAL EFFUSION Flashcards
NORMAL PLEURAL FLUID
5-15 ML
PLEURAL FLUID SECRETED BY
PARIETAL PLEURA
RATE OF SYNTHESIS OF PLEURAL FLUID
0.01 ML/KG/HR
MINIMAL AMOUNT TO BE PRESENT TO BE DETECTED CLINICALLY
300 ML
INVESTIGATION OF CHOICE
CT > USG
CXR UPRIGHT LATERAL VIEW
> 100 ML
CXR UPRIGHT FRONTAL VIEW
> 200 ML
CHARACTERISTIC OF PLEURAL EFFUSION OF CHEST =X RAY
OBLITERATION OR BLUNTING OF COSTOPHRENIC ANGLE
MENISCUS SIGN
TRANSUDATIVE PLEURAL EFFUSION
CHF
VALVULAR LESIONS
CONSTRICTIVE PERICARDITIS
transudative pleural effusion is unilateral or bilateral?
bilateral
leading cause of bilateral pleural effusion
heart failure
causes of exudative pleural effusion
parapneumonic effusion
malignancy
tuberculosis
rheumatoid pleural effusion
meigs syndrome
preferred site of thoracocentesis
7th ics
leading of malignant pleural effusion
adenocarcinoma of lung
symptom of patient with malignant pleural effusion
trepepnea
light’s criteria
pleural fluid protein > 0.5 times of serum protein
pleural fluid ldh > 0.6 times of serum ldh
other parameters checked on pleural effusion
pleural fluid sugar < 60 %
cytology : malignant cells are present
pleurodesis
injection of ‘ doxycycline into pleural sac via chest tube : to formation of adhesions in various layers of pleura
orthopnea
in supine position : acute CHF
PLATYPNEA
ATRIAL MYXOMA
HEPATO PULMONARY SYNDROME
TUBERCULAR PLEURAL EFFUSION
ADENOSINE DEAMINASE LEVELS INCREASE IN PLEURAL EFFUSION
RHEUMATOID PLEURAL EFFUSION
CHOLESTEROL CRYSTALS IN PLEURAL FLUID
MEIGS SYNDROME
OVARIAN TUMORS[ FIBROMA/THECOMA]
ASCITES
RIGHT SIDED PLEURAL EFFUSION
HEMMORHAGIC PLEURAL EFFUSION
TB
CANCER OF LUNG
TRAUMA
MESOTHELIOMA
