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CXR: Loculated Empyema
 

CXR: Loculated Empyema

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    CXR: Loculated Empyema CXR: Loculated Empyema Presentation Transcript

    • PROF.DR. G.SUNDARAMURTHY’S UNIT – M6
      • 60 yrs old male, k/c/o DM/ SHT/ Old CVA-Lt Hemiparesis,
      • C/o Fever X 1 month
        • on & off, low grade, intermittent, chills.
      • H/o Cough with expectoration X 1 month
        • Scanty, not blood tinged
        • H/o Breathlessness – Class 2
        • H/o Hiccups
        • H/o Night sweats
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    • Differential Diagnosis
      • Hydro/Pyo pneumothorax
      • Cavitating lung cancer
      • Diaphragmatic hernia
      • Empyema
      • Other Possible DDs
      • Lung Abscess
      • TB cavity
      • Fungal – Blastomycosis
      • Infected Hydatid cyst
    •  
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      • Loculated Empyema thorax Lt side with Lt Pleural effusion
      • Cholelithiasis
      CT LUNG
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      • Stage I - “ Exudative ”
          • sterile pleural fluid develops secondary to inflammation without fusion of the pleura
      • Stage II - “ Fibrinopurulent ”
          • a fibrinous peel develops on both pleural surfaces limiting lung expansion
      • Stage III - “ Organizing ”
          • in-growth of capillaries & fibroblasts into the fibrinous peel
      Empyema Lung Accumulation of Pus in the Pleural cavity. Greek word empyein means : pus–producing (suppurates).
    • Principles of Management
      • Treatment of the underlying Infection.
      • Drainage of pus from the pleura.
      • Obliteration of the space & complete Re-expansion of the Lung.