Pleural effusion
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Pleural effusion

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Pleural effusion Document Transcript

  • 1. 64 years old Malay man complained of wheezing and Shortness of breath on exertion for 2/7 associated with chest pain on inspiration, abdominal pain and low grade fever.Questions 2) Radiology feature 1) Outline the pathophysiology of the chest - Homogenous radio opaque at the pain on inspiration and shortness of right lung extending up to upper breath zone. Presence of meniscus layer 2) Describe the radiological feature - Trachea shifted to the right 3) What is your radiological diagnosis? - Mediastinal shift. 4) How do you classify the condition in (3) and give example for each condition. 3) Right massive pleural effusion. 5) Clinical sign that you would look for 4) Based on nature of the effusion Answer - Exudate (lung carcinoma) 1) Pathophysiology - Transudate Cardiac failure) Pleuritic chest pain: sharp or stabbing - Empyema (Empyema thoracis) pain especially during deep inspiration - Hemorrhagic (Hemothorax) due to irritation of pleural surface. - Chylous formation (Chylothorax) Transudative effusion usually does not cause direct pleural irritation as 5) Clinical sign compared to exudative type. - Reduce movement on the affected site Shortness of breath: due to the distortion - Trachea deviation to affected site of diaphragm and chest wall during - Stony dull on percussion respiration rather than causing by - Reduce vocal resonance and breath hypoxemia sound at the affected site