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RESPIRATORY > [pleural effusion] > Flashcards

[pleural effusion] Flashcards

1
Q
A

transudate

exudate

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2
Q
A

transudate

exudate

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3
Q
A
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4
Q
A

> 35g/L protein

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5
Q
A

pus in the pleural space

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6
Q
A

blood in the pleural space

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7
Q
A

air in the pleural space

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8
Q
A

lymph + fat in the pleural space

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9
Q
A

haemopneumothorax

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10
Q
A

trans - across (from blood = low protein)

Ex - extra protein - excreted from infection

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11
Q
A

increased venous pressure
hypoalbuminaemia
hypothyroidism
Meig’s syndrome

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12
Q
A

right pleural effusion
ovarian fibroma
ascites

(transdiaphragmatic lymphatic channels are larger in diameter on the right = effusion on right)

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13
Q
A

increased permeability of pleural capillaries due to infection/malignancy

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14
Q
A

malignancy (carcinoma/metastases)
infection (TB/pneumonia)
pulmonary infarction
systemic inflammatory disorders (SLE/RA)

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15
Q
A
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16
Q
A

> 35g/L protein

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17
Q
A

pus in the pleural space

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18
Q
A

blood in the pleural space

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19
Q
A

air in the pleural space

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20
Q
A

lymph + fat in the pleural space

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21
Q
A

haemopneumothorax

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22
Q
A

trans - across (from blood = low protein)

Ex - extra protein - excreted from infection

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23
Q
A

increased venous pressure
hypoalbuminaemia
hypothyroidism
Meig’s syndrome

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24
Q
A

right pleural effusion
ovarian fibroma
ascites

(transdiaphragmatic lymphatic channels are larger in diameter on the right = effusion on right)

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25
Q
A

increased permeability of pleural capillaries due to infection/malignancy

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26
Q
A

malignancy (carcinoma/metastases)
infection (TB/pneumonia)
pulmonary infarction
systemic inflammatory disorders (SLE/RA)

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27
Q
A
28
Q
A

malignancy (carcinoma/metastases)
infection (TB/pneumonia)
pulmonary infarction
systemic inflammatory disorders (SLE/RA)

29
Q
A

Pleuritic chest pain

dyspnoea

30
Q
A

tension pneumothorax

31
Q
A

stony dull percussion
diminished breath sounds
tracheal deviation away (in large effusions)
bronchial breathing ABOVE the effusion

32
Q
A

expiration phase as long or longer than inspiration
harsh blowing quality
high pitched sounds not filtered out

33
Q
A

expiration phase as long or longer than inspiration
harsh blowing quality
high pitched sounds not filtered out

34
Q
A

compression of lung

35
Q
A

effusion has a meniscus

36
Q
A

CXR

37
Q
A

blunting of costophrenic angles

38
Q
A

pleural effusion + pneumothorax

39
Q
A

effusion has the appearance of a meniscus (actually lung pushing fluid up side)

40
Q
A

pleural effusion + pneumothorax

lung no long pushing fluid up side = no meniscus look

41
Q
A

pleural effusion + pneumothorax

lung no long pushing fluid up side = no meniscus look

42
Q
A

diagnostic aspiration

1-2 intercostal spaces below effusion - percuss - 21 gauge

43
Q
A

Pareital pleura biopsy

44
Q
A

clear

straw coloured

45
Q
A

turbid

yellow

46
Q
A

trauma
malignancy
pulmonary infarction

47
Q
A

trauma
malignancy
pulmonary infarction

48
Q
A

SLE

49
Q
A

RA

50
Q
A

mesothelioma

51
Q
A

pulmonary infarction

52
Q
A

pulmonary infarction

53
Q
A 
malignancy 
sarcoidosis 
TB 
RA
SLE
54
Q
A

pulmonary embolism

55
Q
A

oesophageal rupture
pancreatitis
bacterial pneumonia
carcinoma

56
Q
A

RA

57
Q
A

SLE

58
Q
A 
empyema 
malignancy 
TB
RA 
SLE
59
Q
A 
empyema 
malignancy 
TB
RA 
SLE
60
Q
A

chest drainage

US supervision - safe triangle - not where pneumothorax goes

61
Q
A

4-6th

anterior to mid clavicular line

62
Q
A

lymph + fat in the pleural space aka chyle

63
Q
A

4-6th

anterior to mid clavicular line

64
Q
A

pleurodesis (artificial destruction of pleural space - sticks the 2 pleural layers together)

65
Q
A

pleurodesis (artificial destruction of pleural space - sticks the 2 pleural layers together)

66
Q
A

pleural protein: serum protein

if ratio >0.5 effusion is exudate

RESPIRATORY (20 decks)

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