PPT-Pneumothorax and Pleural Effusions

Update Tension Ann R Coll Surg Engl 2013 Jan951614 doi 101308003588413X13511609956138 Thoracotomy versus VATS is there an optimal approach to treating pneumothorax Joshi V. . effusion. , . pneumothorax. (. presentation. . for. . english. . medical. . students. ). Dr. Farkas Attila, Dr. Agócs László, Dr. Kocsis Ákos, Dr. Mészáros László, Dr. Török Klára, Dr. . Pleural Disease. Air in the pleural cavity. Pneumothorax: from airway or from atmosphere. Pneumothorax. Air in the pleural space. Expiratory view and lateral . decubitus. view (affected side up) are best for evaluation. 2. Gram stain and culture. Antigen tests. Urine reagent strips . Large volumes of CSF, often from multiple lumbar punctures, are recommended to improve the sensitivity. antigens and antibodies . PCR nucleic acid amplification for detecting . 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.. Visceral Pleura. Covers the lung parenchyma including the interlobar fissures.. Provides mechanical support to the lung.. Limits lung expansion, protecting . the lung .. Contributes to the elastic recoil of the lung and lung deflation. . Serum levels of , a glycoprotein produced during fetal development, are low or undetectable in healthy, nonsmoking adults but may be increased in patients with malignancies which secrete CEA into th 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 [1, 2] . A parapneumonic pleural effusion refers to any effusion Accessible online at:www.karger.com/res Previous articles in this series: 1. Froudarakis ME: Diagnos-tic work-up of pleural effusion (. presentation. . for. . english. . medical. . students. ). Dr. Farkas Attila, Dr. Agócs László, Dr. Kocsis Ákos, Dr. Mészáros László, Dr. Török Klára, Dr. . Gieszer. Balázs, Dr. . Radeczky. Ankit Gupta MD, Kassem Harris MD . Primary Spontaneous Pneumothorax. Background.  . Technical Details, Challenges and Management of Complications. Primary spontaneous pneumothorax (PSP) : Pneumothorax without any known underlying lung disease. 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 . Q1. 25 year old male with sudden onset pleuritic chest pain, denies dyspnoea. . Sats. are 97% on air. CXR shows right sided pneumothorax 2.5cm measured at hilum. How should the pneumothorax be managed?.