Pleura Flashcards

1
Q

what layer is the outer pleura

A

parental

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2
Q

what layer is the inner pleura

A

visceral

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3
Q

what cwll are int he pleural fluid

A

macrophages, lymphocytes, mesothelial

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4
Q

what is the fuction of te pleural fludi

A

filtration

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5
Q

what colour is normal pleural fluid

A

straw coloured

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6
Q

where is the most negative aspect of the plural fluid

A

apex

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7
Q

pnemothroax

A

collection of air

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8
Q

pleural effusoin

A

collection of fluid

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9
Q

pleural malignacy turmor name

A

mesothelida

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10
Q

hyrdopneumothorax

A

air and water in plerual fluid

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11
Q

hemothroax

A

blood in plerual fluid

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12
Q

what is transudate fluid

A

low protien contenet

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13
Q

what is exudate floud

A

hight protin condent of 3g/dl

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14
Q

which is inflmatory exudate or transudate fluid

A

exudate

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15
Q

what is the most common transudate cause in the lungs

A

left venticular faliure, liver fibrisions,

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16
Q

what are rarer cuaes of transudate increase in the lungs

A

hyproalumieame, peritneal dialysis, hypothrodiism, nephrotic syndrom, mrial stenosis

17
Q

what are common causes of exudate increse in the lungs

A

tb, malignacy, paraneumoic effusion and emyeema

18
Q
A
19
Q

what are less commmon causes of exudates

A

pulmonnary embolism, ct disease, being asbestos plura effusion, pancreaits, post myocaridal infration, post coronary artery bypass gratft, hameothorax, chlothroax

20
Q

what are the 3 ways to detect plureal effusion

A

ultra sound, cxr, ct of thorax

21
Q

what is teh benifit of a ultra sound to diagnose a pleral effusion

A

it can be done at the patients bedside

22
Q

what tests can be done on pleral fluid

A

ph using abg, biochemistry, microbilogy, cytology

23
Q

what does a pleral fluid with a ph of less than 7.2 mean

A

pus or blood in hte sample

24
Q

what is a primary spontanous pnumoatha

A

air leaks into the pluear space form lungs with no conditions present

25
Q

what is a sencondary pneumothorax

A

air leaks into lungs with a conditoins such as copd astma, intersital lung disease or cf present

26
Q

what is a latrogneic pneumothrorax

A

pneumothar that accidlety occurds during a medical procedure such as a biopsy

27
Q

what is a tension pneumothorax

A

where the air causes a lung to collapse and the trachae shits away from the collapsed lung, this cause bp to drop in the threat, this can be fixed with a chest needle

28
Q

who are most produe to tension pneumothoar

A

young thin tall men, and those with underling lung diesae

29
Q

what is the symptons of a tension pnumaroa

A

chest pain and breathlessness

30
Q

what are teh symptons of a pneumothorax

A

hypoxic, tachypneic, redued chest wall movement and reduced or no breath sounds

31
Q

what ar the ways to diagnose a pneumothorax

A

cxr, us, ct thorsax

32
Q

what is the treatment for pneumothorax

A

chest wal drain insertion

33
Q

where can you add a pleral drain

A

2nd intercostal space, mid clavicualr line

34
Q

what are is the most comon pleaur tumor

A

mesothelioma

35
Q

where does a mesothelim originate from

A

asbestion, which causes infmlaation in lungs

36
Q

what are teh signs of a mesothelioma

A

chest pain, breathlesness, weight loss, clubbed, signs of a pleural effusion

37
Q

what is the diagnosis of a pleaur mesothlioma

A

cxr, pleraul effusion, plerual based mass

38
Q

what treatment is there for plearu mesothelioma

A

little, sometimes chemothery, often pallative care

39
Q
A