Unilateral pleural effusion Flashcards
1
Q
where does fluid accumulate
A
parietal & visceral pleura
2
Q
underlying equation of pathophysiology of effusion
A
fluid production > fluid removal
3
Q
cause of exudative vs transudative PE
A
- exudative –> capillaries inflammation causing fluid leaking to pleural space
- transudative –> too much fluid causing leakage to pleural space
4
Q
is exudate PE likely to be unilateral or bilateral
A
unilateral
5
Q
is transudative PE likely to be unilateral or bilateral
A
bilateral
6
Q
protein content in exudative as opposed to transudative
A
high
7
Q
LDH content in exudative PE compared to transudative
A
high
8
Q
examples of exudative PE causes
A
- pneumonia
- TB
- lung cancer
- RA
- PE, trauma
- SLE
- mesothelioma
- lymphatic PE
9
Q
examples of transudative PE causes
A
- HF
- cirrhosis
- nephrotic syndrome
- malabsorption/malnutrition
- meigs syndrome
10
Q
what is meigs syndrome
A
- pleural effusion (oft right-sided)
- ovarian tumour
- ascites
11
Q
percussion in effusion
A
dull
12
Q
exacerbating factors of pleuritic chest pain in effusion
A
- inspiration
- cough
- movement
13
Q
breath sounds in effusion
A
quieter
14
Q
deviation in effusion
A
away
15
Q
why is there reduced/absent sounds upon auscultation
A
fluid prevents transmission of sound waves
