Pleural Effusion Flashcards

1
Q

what is pleural effusion

A

accumulation of fluid in the pleural space

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2
Q

accumulation is due to what?

A

abnormal drainage or seepage

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3
Q

What types of fluid are there?

A

Exudate: inflammation fluid with proteins
Transudate: not inflammation fluid, no proteins
Empyema: purulent fluid
Hemothorax: blood
Chylothorax: lymph

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4
Q

Etiology

A

usually dt congestive heart failure

also dt CA, infection, pulmonary infarction

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5
Q

Patho

A

fluid enters via parietal capillaries
Drains into parietal lymphatics
when fluid entry exceeds the drainage you will have pleural effusion

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6
Q

Manifestations

A

Dyspnea, pleuritic pain (pressure from stretching the plueral membrane), lung compression (pressure)

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7
Q

Diagnosis

A

Chest xray is really revealing

US/CT

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8
Q

Treatment

A

Treat underlying cause
Thoracentesis
Chest tube (to drain can be semi or permanent)

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