PLEURAL EFFUSION Flashcards

1
Q

NORMAL PLEURAL FLUID

A

5-15 ML

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2
Q

PLEURAL FLUID SECRETED BY

A

PARIETAL PLEURA

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3
Q

RATE OF SYNTHESIS OF PLEURAL FLUID

A

0.01 ML/KG/HR

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4
Q

MINIMAL AMOUNT TO BE PRESENT TO BE DETECTED CLINICALLY

A

300 ML

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5
Q

INVESTIGATION OF CHOICE

A

CT > USG

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6
Q

CXR UPRIGHT LATERAL VIEW

A

> 100 ML

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7
Q

CXR UPRIGHT FRONTAL VIEW

A

> 200 ML

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8
Q

CHARACTERISTIC OF PLEURAL EFFUSION OF CHEST =X RAY

A

OBLITERATION OR BLUNTING OF COSTOPHRENIC ANGLE
MENISCUS SIGN

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9
Q

TRANSUDATIVE PLEURAL EFFUSION

A

CHF
VALVULAR LESIONS
CONSTRICTIVE PERICARDITIS

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10
Q

transudative pleural effusion is unilateral or bilateral?

A

bilateral

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11
Q

leading cause of bilateral pleural effusion

A

heart failure

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12
Q

causes of exudative pleural effusion

A

parapneumonic effusion
malignancy
tuberculosis
rheumatoid pleural effusion
meigs syndrome

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13
Q

preferred site of thoracocentesis

A

7th ics

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14
Q

leading of malignant pleural effusion

A

adenocarcinoma of lung

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15
Q

symptom of patient with malignant pleural effusion

A

trepepnea

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16
Q

light’s criteria

A

pleural fluid protein > 0.5 times of serum protein
pleural fluid ldh > 0.6 times of serum ldh

17
Q

other parameters checked on pleural effusion

A

pleural fluid sugar < 60 %

cytology : malignant cells are present

18
Q

pleurodesis

A

injection of ‘ doxycycline into pleural sac via chest tube : to formation of adhesions in various layers of pleura

19
Q

orthopnea

A

in supine position : acute CHF

20
Q

PLATYPNEA

A

ATRIAL MYXOMA
HEPATO PULMONARY SYNDROME

21
Q

TUBERCULAR PLEURAL EFFUSION

A

ADENOSINE DEAMINASE LEVELS INCREASE IN PLEURAL EFFUSION

22
Q

RHEUMATOID PLEURAL EFFUSION

A

CHOLESTEROL CRYSTALS IN PLEURAL FLUID

23
Q

MEIGS SYNDROME

A

OVARIAN TUMORS[ FIBROMA/THECOMA]
ASCITES
RIGHT SIDED PLEURAL EFFUSION

24
Q

HEMMORHAGIC PLEURAL EFFUSION

A

TB
CANCER OF LUNG
TRAUMA
MESOTHELIOMA