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5 Cards in this Set

  • Front
  • Back

What are the causes of pleural effusion?


-Right sided


-Left sided


-Bilateral

Right sided :



Liver abscess


Meig's syndrome


Dengue hemorrhagic fever



Left Sided:



Acute pancreatitis


Rheumatoid arthritis


Ruptured esophagus


Dressler's syndrome


Dissecting anuerysm.



Bilateral :



All causes of transudative effusion


Connective tissue disease


Lymphoma


Bilateral extensive pul.tb


Pulmonary infarction


Multiple metastases








What are the causes of recurrent pleural effusion?

Bronchial carcinoma


Pleural mesothelioma


Lymphoma


Connective tissue disease


All causes of transudative effusion


What are the causes of transudative & exudative pleural effusion?

Transudative:



CCF - Chronic constrictive pericarditis - acute rheumatic fever



Cirrhosis of liver



Nephrotic syndrome



Malabsorption, malnutrition



Hypoprotienemia



Hypothyroidism



Meig's syn.



Exudative:



TB


Pneumonia


Malignancy


Infarction


Lymphoma


Connective tissue disease


Post myocardial infarction syndrome



Others: acute pancreatitis, liver abscess, subphrenic abscess.

What are the characteristics of empyema fluid?

Purulent


Neutophil predominant


Glucose < 60mg/dl


Protien > 3mg%


lDH > 1000IU/L


pH < 7.0


How to diagnose hydrothorax clinically?

Presence of primary cause (cause of transudative effusion)



Generalized edema, ascites,pericardial effusion



No history of fever, infection



Confirmed by aspiration