PPT-APPROACH TO THE PATIENT OF PLEURAL EFFUSION

Presented by Dr Vidhu Mittal Junior Resident Deptt of Chest and TB 1 PLEURAL SPACE Introduction The pleural space is a potential space around the lungs bounded by two membranes the visceral pleura covering the lung and the parietal pleura covering the chest wall and the diaphragm . dyspnea. Atoosa Adibi MD. . Department of Radiology. The most common diagnoses among elderly patients presenting to an ED with a complaint of acute shortness of breath or . dyspnoea. are: . decompensated. to . Pleural Effusion. Garrett Waagmeester. 4/25/2014. Total pleural fluid volume: 0.2-0.3 . mL. /kg. Fluid produced by systemic vessels of the parietal pleura, primarily less dependent capillaries, based on:. Chest examination of a patient with pleural effusion. dullness to percussion, decreased or absent tactile . fremitus. , decreased breath sounds, and decreased voice transmission, . mediastinal. shift to the opposite side. Morgan. . MS, RN. Pleural Effusion. What is the underlying cause of the effusion? . Malignancy?. Liver failure?. Hepatic hydrothorax . Post-op complication?. Common following cardiothoracic surgery. Fluids . Lab 11, 12. Introduction. Serous fluids are fluids within the closed cavities of the body. These cavities are lined by an adjacent membrane, which forms a double layer of . mesothelial. cells, called the serous membrane. . Improperly measuring RV dilation. Misinterpreting IVC collapse. Misdiagnosing . mirror artifact as lung consolidation. Misdiagnosing stomach as free peritoneal fluid. Over-diagnosis of acute . cholecystitis. Pleural Effusion . Objectives. Know how to diagnose pleural effusions.. Understand the indications for thoracentesis. . Understand the main classification and etiologies of pleural effusions.. Know the common laboratory studies used to analyze pleural fluid.. DEFINITION. Is an acute inflammation of lung parenchyma caused by various micro organism. Pneumonitis is a general term that describe an inflammatory process in the lung tissue that may predispose or place the at risk for microbial invasion.. Understanding Oxygen. Lots of ways of giving it. FiO2. Fraction of inspired oxygen. What you see isn’t necessarily what you get…. Increasing oxygen requirements should be a red flag. Wards have a “safety” cap of FiO2 of 0.5. leural occur in 5% to 10% of patients with cirrhosis of the liver (1 ). In these patients, ascites is usually evident but a pleural effusion may develop in a cirrhotic patient in the absence ofdetecta Author: Salim Rezaie Epidemiology ✓ Annual incidence: A bout 1 million Americans each year Etiology ✓ Pleural Effusion is an abnormal accumulation of fluid in the pleural space . ✓ The first s Obeidah. . Masoudi. MD,FCCP. American Board Pulmonary, Critical Care & . Sleep Medicine . Brown University.. . The pleura is the serous membrane that covers the lung parenchyma, the mediastinum, the diaphragm , and the rib cage. Divided into the visceral and the parietal pleura, both meet at the root of the lung, the pulmonary hilum. Dr Abdalla Elfateh Ibrahim. Consultant & Assisstant Professor . of Pulmonary Medicine. King Saud University . Pleural effusions. Abnormal collection of fluid in the pleural space resulting from excess fluid production or decreased absorption. A 67-year-old man presents to the emergency department . with a 5-day history of fever and cough that produces green sputum. . He . has a history of tobacco use and ischemic cardiomyopathy with . a .