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Y4R6 - Pediatrics II 👶 > L5: Pleural Effusion > Flashcards

L5: Pleural Effusion Flashcards

(51 cards)

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1
Q

Def of Pleural Effusion

A
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2
Q

Pathophysiology of Pleural Effusion

A
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3
Q

Pathophysiologic mechanisms involved in the formation of most pleural effusions

A
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4
Q

Pathophysiologic mechanisms involved in the formation of most pleural effusions

  • Transudate
A
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5
Q

Pathophysiologic mechanisms involved in the formation of most pleural effusions

  • Exudate
A
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6
Q

Pathophysiologic mechanisms involved in the formation of most pleural effusions

  • Chylothorax
A
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7
Q

Pathophysiologic mechanisms involved in the formation of most pleural effusions

  • Hemothorax
A
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8
Q

Etiology of Pleural Effusion

A
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9
Q

Etiology of Pleural Effusion

  • Most Common
A
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10
Q

Etiology of Pleural Effusion

  • Exudate
A
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11
Q

Etiology of Pleural Effusion

  • Transudate
A
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12
Q

Etiology of Pleural Effusion

  • Chylous
A

Caused by Thoracic duct injury

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13
Q

Etiology of Pleural Effusion

  • Hemothorax
A
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14
Q

CP of Pleural Effusion

A
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15
Q

CP of Pleural Effusion

  • Symptoms
A
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16
Q

Symptoms of Pleural Effusion

  • Cause
A
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17
Q

Symptoms of Pleural Effusion

  • Related to the Amount of Effusion
A
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18
Q

Symptoms of Pleural Effusion

  • Chest (Pleuritic) Pain
A
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19
Q

Signs of Pleural Effusion

A
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20
Q

Signs of Pleural Effusion

  • Inspection
A
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21
Q

Signs of Pleural Effusion

  • Palpation
22
Q

Signs of Pleural Effusion

  • Percussion
Study These Flashcards
A

Stony Dullness

23
Q

Signs of Pleural Effusion

  • Auscultatioon
24
Q

DDx of Pleural Effusion

25
INVx for **Pleural Effusion**
26
INVx for **Pleural Effusion** - rads
27
Rads in **Pleural Effusion** - X-Ray
28
Rads in **Pleural Effusion** - US
- Very sensitive: can detect small amounts as low as 20ml
29
Rads in **Pleural Effusion** - CT
If small amount or complicated
30
Labs in **Pleural Effusion** - Pleural fluid aspiration "Thoracocentesis"
31
Thoracocentesis in **Pleural Effusion** - Not Indicated In
- CHF - Ascites - Nephrotic syndrome - Recent initiation of peritoneal dialysis
32
Thoracocentesis in **Pleural Effusion** - Indicated in
33
Thoracocentesis in **Pleural Effusion** - Technique
34
Thoracocentesis in **Pleural Effusion** - Interpretation
35
Interpretation of **Pleural Effusion** - Pale, Yellow, Clear - Purulent Fluid - Putrid Odor & Purulent Fluid - Milky Fluid - Blood Fluid
36
Interpretation of **Pleural Effusion** - Purulent - Lymphocitic - Chylothorax - Hemothorax
37
Difference between exudate & transudate in **Pleural Effusion**
38
Difference between complicated & uncomplicated pleural effusion
39
Mortality & Morbidity in **Pleural Effusion**
40
Mortality & Morbidity in **Pleural Effusion** - Less in
- Most effusions caused by viral and mycoplasmal infections spontaneously resolve.
41
Mortality & Morbidity in **Pleural Effusion** - More in
- Empyema causes significant acute morbidity. - Death from empyema in previously healthy children in the developed world is uncommon. - The mortality rate is higher for children < 2 years.
42
Mortality & Morbidity in **Pleural Effusion** - More common incidence in .......(Age & Sex)
- Sex: Parapneumonic effusions and empyema are more common in boys than girls. - Age: Parapneumonic effusions and empyema are more common ill infants and young children than older children
43
TTT of **Pleural Effusion**
44
TTT of **Pleural Effusion** - Intro
45
TTT of **Pleural Effusion** - IV Antibiotics
46
Indications of IV Antibiotics in **Pleural Effusion**
- Indicated in all cases of parapneumonic effusion
47
Duration of IV Antibiotics in **Pleural Effusion**
- Continue for at least several days after fever & fluid drainage subside. - Orally administered antibiotics should be given for an additional 1-2 weeks.
48
TTT of **Pleural Effusion** - Chest tube Draining
49
Chets Tube Drainage in **Pleural Effusion** - Indications
- Indicated in complicated effusion
50
Chets Tube Drainage in **Pleural Effusion** - Characters of Response
51
Chets Tube Drainage in **Pleural Effusion** - Role of Chest X-Ray
- CXR alone is not a good indicator of response because pleural opacification persists for weeks after infection & fluid have cleared.

Y4R6 - Pediatrics II 👶 (68 decks)

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