SlideShare a Scribd company logo

6.Pleural Effusions

•
•
G
ghalan
Health & MedicineTechnology
1 of 39
Pleural Effusions MBBS.weebly.com Dr. Canmao xie
Contents ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Dr. Canmao xie
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Introduction Dr. Canmao xie
Introduction ,[object Object],[object Object],Dr. Canmao xie
[object Object],[object Object],[object Object],Anatomy of the Pleural Space Dr. Canmao xie SC: Systemic capillaries PC: Pulmonary capillaries
[object Object],[object Object],Anatomy of the Pleural Space Dr. Canmao xie SC: Systemic capillaries PC: Pulmonary capillaries
Figure 1. Anatomy of the pleural space SC: Systemic capillaries PC: Pulmonary capillaries Dr. Canmao xie
Figure 2. pleural fluids turnover PF enter the pleural space through parietal & visceral pleurae, And leave pleural space through lymphatics in parietal pleura Dr. Canmao xie
[object Object],[object Object],[object Object],Mechanism of pleural fluids turnover Dr. Canmao xie
Figure. Diagrammatic representation of the pressures involved in the formation and absorption of pleural fluid. Parietal Pleura Visceral Pleura Space Pleura Hydrostatic Pressure + 30 - 5 + 24 35 29 6 0 Net 29 29 + 34 + 5 +34 Oncotic Pressure Dr. Canmao xie
Mechanism of pleural fluids turnover ,[object Object],[object Object],Dr. Canmao xie
Pathophysiology ,[object Object],[object Object],[object Object],[object Object],Dr. Canmao xie
Etiology and Pathogenesis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Dr. Canmao xie
Clinical Manifestations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Dr. Canmao xie
Physical Examinations ,[object Object],[object Object],[object Object],[object Object],[object Object],Dr. Canmao xie Bronchial breath sounds Diminished breath sounds
Radiographic Appearance ,[object Object],[object Object],[object Object],[object Object],Dr. Canmao xie
A posteroanterior and lateral chest radiograph of pleural effusion blunting of the posterior costophrenic angle Dr. Canmao xie
Approach to the Patient with Pleural Effusion ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Dr. Canmao xie
Appearance of the Pleural Fluid ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Dr. Canmao xie
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Appearance of the Pleural Fluid Dr. Canmao xie
Separating exudates from transudates ,[object Object],[object Object],[object Object],[object Object],Dr. Canmao xie Dr. Light raised the Light’s criteria when he was at age of 32 LDH=lactate dehydrogenase
Dr. Canmao xie
Routine tests on exudative pleural effusions ,[object Object],[object Object],[object Object],Dr. Canmao xie
Cell count and differential ,[object Object],[object Object],[object Object],[object Object],Dr. Canmao xie
Pleural fluid glucose levels ,[object Object],[object Object],Dr. Canmao xie
Pleural fluid LDH level ,[object Object],[object Object],Dr. Canmao xie
Pleural fluid pH ,[object Object],[object Object],[object Object],Dr. Canmao xie
Pleural fluid tests for malignancy ,[object Object],[object Object],[object Object],[object Object],[object Object],Dr. Canmao xie
Malignant effusions Dr. Canmao xie
肺腺癌 患者男性， 65 岁。 因“反复胸痛 5 月，呼吸困难 1 月，加重 1 周” 入院。胸水 CEA 增高。 镜下见：脏、壁层胸膜间粘连带形成，壁层胸膜、膈面见弥漫性结节样新生物，部分表面覆盖白色坏死组织，右上叶后段斜裂缘见白色息肉样肿物，右下叶表面多发灰色斑状浸润。病理示腺癌。
Pleural fluid markers for tuberculosis ,[object Object],[object Object],[object Object],Dr. Canmao xie
Parapneumonic Effusion ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Dr. Canmao xie
Tuberculous Pleural Effusions ,[object Object],[object Object],[object Object],[object Object],[object Object],Dr. Canmao xie
Tuberculous Pleurisy Dr. Canmao xie
Management of Tuberculous Pleural Effusions ,[object Object],[object Object],[object Object],Dr. Canmao xie
Malignant Pleural Effusions ,[object Object],[object Object],[object Object],[object Object],Dr. Canmao xie
Management of malignant pleural effusion ,[object Object],[object Object],[object Object],[object Object],[object Object],Dr. Canmao xie
Diagnostic Workup of A Pleural Effusion ,[object Object],[object Object],[object Object],Dr. Canmao xie
Thank you for attention! Dr. Canmao xie

Recommended

Pleural effusion
Pleural effusionPleural effusion
Pleural effusion
Ayman Sultan
 
Spontaneous pneumothorax for general surgical residents
Spontaneous pneumothorax for general surgical residentsSpontaneous pneumothorax for general surgical residents
Spontaneous pneumothorax for general surgical residents
HappyFridayKnight
 
Pleural effusion
Pleural effusionPleural effusion
Pleural effusion
DR .PALLAVI PATHANIA
 
Pleural effusion
Pleural effusionPleural effusion
Pleural effusion
ahmad tanweer
 
Pleural diseases
Pleural diseasesPleural diseases
Pleural diseases
Oriba Dan Langoya
 
Pleural effusion
Pleural effusionPleural effusion
Pleural effusion
awasali
 
Pleural effusion.pptx cme march
Pleural effusion.pptx cme marchPleural effusion.pptx cme march
Pleural effusion.pptx cme march
RISHIKESAN K V
 
Chest tube drainage - Dr.Tinku Joseph
Chest tube drainage - Dr.Tinku JosephChest tube drainage - Dr.Tinku Joseph
Chest tube drainage - Dr.Tinku Joseph
Dr.Tinku Joseph
 

Recommended

Pleural effusion
Pleural effusionPleural effusion
Pleural effusion
Ayman Sultan
 
Spontaneous pneumothorax for general surgical residents
Spontaneous pneumothorax for general surgical residentsSpontaneous pneumothorax for general surgical residents
Spontaneous pneumothorax for general surgical residents
HappyFridayKnight
 
Pleural effusion
Pleural effusionPleural effusion
Pleural effusion
DR .PALLAVI PATHANIA
 
Pleural effusion
Pleural effusionPleural effusion
Pleural effusion
ahmad tanweer
 
Pleural diseases
Pleural diseasesPleural diseases
Pleural diseases
Oriba Dan Langoya
 
Pleural effusion
Pleural effusionPleural effusion
Pleural effusion
awasali
 
Pleural effusion.pptx cme march
Pleural effusion.pptx cme marchPleural effusion.pptx cme march
Pleural effusion.pptx cme march
RISHIKESAN K V
 
Chest tube drainage - Dr.Tinku Joseph
Chest tube drainage - Dr.Tinku JosephChest tube drainage - Dr.Tinku Joseph
Chest tube drainage - Dr.Tinku Joseph
Dr.Tinku Joseph
 
Pneomothorax & hemothorax by Farshid Mokhberi
Pneomothorax & hemothorax by Farshid MokhberiPneomothorax & hemothorax by Farshid Mokhberi
Pneomothorax & hemothorax by Farshid Mokhberi
Farshid Mokhberi
 
Updates in Parapneumonic Effusion and Empyema
Updates in Parapneumonic Effusion and EmpyemaUpdates in Parapneumonic Effusion and Empyema
Updates in Parapneumonic Effusion and Empyema
Gamal Agmy
 
Pleural effusion
Pleural effusionPleural effusion
Pleural effusion
Aaron Mascarenhas
 
Thoracic empyema
Thoracic empyemaThoracic empyema
Thoracic empyema
Sadru mohamed
 
LCP Pleural Effusion Group Report March 12 2014
LCP Pleural Effusion Group Report March 12 2014LCP Pleural Effusion Group Report March 12 2014
LCP Pleural Effusion Group Report March 12 2014
Josephine Ann Necor
 
Pleural effusion
Pleural effusionPleural effusion
Pleural effusion
Chetan Ganteppanavar
 
Pneumothorax
PneumothoraxPneumothorax
Pneumothorax
salman habeeb
 
Pleural effusion
Pleural effusion Pleural effusion
Pleural effusion
Ujaas Dawar
 
Pneumothorax.pptx
Pneumothorax.pptxPneumothorax.pptx
Pneumothorax.pptx
Pradeep Pande
 
Empyema thoracis
Empyema thoracisEmpyema thoracis
Empyema thoracis
Anuj Mehta
 
Approach to pleural effusion
Approach to pleural effusionApproach to pleural effusion
Approach to pleural effusion
Muhammad Asim Rana
 
Pleural effusion
Pleural effusionPleural effusion
Pleural effusion
Nirav Dhinoja
 
Diaphragmatic hernia
Diaphragmatic herniaDiaphragmatic hernia
Diaphragmatic hernia
sudarshan731
 
Common suppurative diseases of lung- Bronchiectasis...!
Common suppurative diseases of lung- Bronchiectasis...!Common suppurative diseases of lung- Bronchiectasis...!
Common suppurative diseases of lung- Bronchiectasis...!
Sharmin Susiwala
 
Pleural Effusions
Pleural EffusionsPleural Effusions
Pleural Effusions
Sumit Prajapati
 
Hemothorax
HemothoraxHemothorax
Hemothorax
Chandan Sheet
 
Management of Parapneumonic Effusion and Empyema
Management of Parapneumonic Effusion and EmpyemaManagement of Parapneumonic Effusion and Empyema
Management of Parapneumonic Effusion and Empyema
Dileep Benji
 
Pleural effusion
Pleural effusion Pleural effusion
Pleural effusion
HAMAD DHUHAYR
 
Pleural effusion (dr. mahesh)
Pleural effusion (dr. mahesh)Pleural effusion (dr. mahesh)
Pleural effusion (dr. mahesh)
Bangabandhu Sheikh Mujib Medical University (BSMMU)
 
Intercostal Drainage Tubes -Indications,methods,uses
Intercostal Drainage Tubes -Indications,methods,usesIntercostal Drainage Tubes -Indications,methods,uses
Intercostal Drainage Tubes -Indications,methods,uses
Athul Francis
 
Pleural Effusion
Pleural EffusionPleural Effusion
Pleural Effusion
Rattan Professional Education College, Sector 78, Mohali
 
Medical pleurodesis
Medical pleurodesisMedical pleurodesis
Medical pleurodesis
Brian Lee
 

More Related Content

What's hot

Updates in Parapneumonic Effusion and Empyema
Updates in Parapneumonic Effusion and EmpyemaUpdates in Parapneumonic Effusion and Empyema
Updates in Parapneumonic Effusion and Empyema
Gamal Agmy
 
LCP Pleural Effusion Group Report March 12 2014
LCP Pleural Effusion Group Report March 12 2014LCP Pleural Effusion Group Report March 12 2014
LCP Pleural Effusion Group Report March 12 2014
Josephine Ann Necor
 

What's hot (20)

Pneomothorax & hemothorax by Farshid Mokhberi
Pneomothorax & hemothorax by Farshid MokhberiPneomothorax & hemothorax by Farshid Mokhberi
Pneomothorax & hemothorax by Farshid Mokhberi
 
Updates in Parapneumonic Effusion and Empyema
Updates in Parapneumonic Effusion and EmpyemaUpdates in Parapneumonic Effusion and Empyema
Updates in Parapneumonic Effusion and Empyema
 
Pleural effusion
Pleural effusionPleural effusion
Pleural effusion
 
Thoracic empyema
Thoracic empyemaThoracic empyema
Thoracic empyema
 
LCP Pleural Effusion Group Report March 12 2014
LCP Pleural Effusion Group Report March 12 2014LCP Pleural Effusion Group Report March 12 2014
LCP Pleural Effusion Group Report March 12 2014
 
Pleural effusion
Pleural effusionPleural effusion
Pleural effusion
 
Pneumothorax
PneumothoraxPneumothorax
Pneumothorax
 
Pleural effusion
Pleural effusion Pleural effusion
Pleural effusion
 
Pneumothorax.pptx
Pneumothorax.pptxPneumothorax.pptx
Pneumothorax.pptx
 
Empyema thoracis
Empyema thoracisEmpyema thoracis
Empyema thoracis
 
Approach to pleural effusion
Approach to pleural effusionApproach to pleural effusion
Approach to pleural effusion
 
Pleural effusion
Pleural effusionPleural effusion
Pleural effusion
 
Diaphragmatic hernia
Diaphragmatic herniaDiaphragmatic hernia
Diaphragmatic hernia
 
Common suppurative diseases of lung- Bronchiectasis...!
Common suppurative diseases of lung- Bronchiectasis...!Common suppurative diseases of lung- Bronchiectasis...!
Common suppurative diseases of lung- Bronchiectasis...!
 
Pleural Effusions
Pleural EffusionsPleural Effusions
Pleural Effusions
 
Hemothorax
HemothoraxHemothorax
Hemothorax
 
Management of Parapneumonic Effusion and Empyema
Management of Parapneumonic Effusion and EmpyemaManagement of Parapneumonic Effusion and Empyema
Management of Parapneumonic Effusion and Empyema
 
Pleural effusion
Pleural effusion Pleural effusion
Pleural effusion
 
Pleural effusion (dr. mahesh)
Pleural effusion (dr. mahesh)Pleural effusion (dr. mahesh)
Pleural effusion (dr. mahesh)
 
Intercostal Drainage Tubes -Indications,methods,uses
Intercostal Drainage Tubes -Indications,methods,usesIntercostal Drainage Tubes -Indications,methods,uses
Intercostal Drainage Tubes -Indications,methods,uses
 

Viewers also liked

Mechanism of pleural effusion
Mechanism of pleural effusionMechanism of pleural effusion
Mechanism of pleural effusion
Ibrahim Moursi
 
Inflammation
InflammationInflammation
Inflammation
MUBOSScz
 
THORACENTESIS; SITE AND MATERIALS
THORACENTESIS; SITE AND MATERIALSTHORACENTESIS; SITE AND MATERIALS
THORACENTESIS; SITE AND MATERIALS
Akinaw Wagari
 
Fluid cytology in serous cavity effusions
Fluid cytology in serous cavity effusionsFluid cytology in serous cavity effusions
Fluid cytology in serous cavity effusions
tashagarwal
 
Pericarditis, Pericardial Effusion, & Cardiac Tamponade - BMH/Tele
Pericarditis, Pericardial Effusion, & Cardiac Tamponade - BMH/TelePericarditis, Pericardial Effusion, & Cardiac Tamponade - BMH/Tele
Pericarditis, Pericardial Effusion, & Cardiac Tamponade - BMH/Tele
TeleClinEd
 

Viewers also liked (20)

Pleural Effusion
Pleural EffusionPleural Effusion
Pleural Effusion
 
Medical pleurodesis
Medical pleurodesisMedical pleurodesis
Medical pleurodesis
 
Effusion cytology - Diagnosis.
Effusion cytology - Diagnosis.Effusion cytology - Diagnosis.
Effusion cytology - Diagnosis.
 
Pathophysiology of pleural effusion
Pathophysiology of pleural effusionPathophysiology of pleural effusion
Pathophysiology of pleural effusion
 
Diagnostic value of pleural effusion
Diagnostic value of pleural effusionDiagnostic value of pleural effusion
Diagnostic value of pleural effusion
 
Pleurodesis
PleurodesisPleurodesis
Pleurodesis
 
Role of laboratory services in tb control
Role of laboratory services in tb control Role of laboratory services in tb control
Role of laboratory services in tb control
 
Pleural Effusions
Pleural EffusionsPleural Effusions
Pleural Effusions
 
Mechanism of pleural effusion
Mechanism of pleural effusionMechanism of pleural effusion
Mechanism of pleural effusion
 
Inflammation
InflammationInflammation
Inflammation
 
Pleural effusion
Pleural effusionPleural effusion
Pleural effusion
 
Productive inflammation
Productive inflammationProductive inflammation
Productive inflammation
 
urinary tract infection
urinary tract infectionurinary tract infection
urinary tract infection
 
THORACENTESIS; SITE AND MATERIALS
THORACENTESIS; SITE AND MATERIALSTHORACENTESIS; SITE AND MATERIALS
THORACENTESIS; SITE AND MATERIALS
 
Fluid cytology in serous cavity effusions
Fluid cytology in serous cavity effusionsFluid cytology in serous cavity effusions
Fluid cytology in serous cavity effusions
 
Thoracentesis
Thoracentesis Thoracentesis
Thoracentesis
 
Pericarditis, Pericardial Effusion, & Cardiac Tamponade - BMH/Tele
Pericarditis, Pericardial Effusion, & Cardiac Tamponade - BMH/TelePericarditis, Pericardial Effusion, & Cardiac Tamponade - BMH/Tele
Pericarditis, Pericardial Effusion, & Cardiac Tamponade - BMH/Tele
 
Inflammation med
Inflammation medInflammation med
Inflammation med
 
Blepharitis
BlepharitisBlepharitis
Blepharitis
 
Urinary tract infections
Urinary tract infectionsUrinary tract infections
Urinary tract infections
 

Similar to 6.Pleural Effusions

4 pleural effusions
4 pleural effusions4 pleural effusions
4 pleural effusions
internalmed
 
approachtopleuraleffusion-140205151929-phpapp01.pdf
approachtopleuraleffusion-140205151929-phpapp01.pdfapproachtopleuraleffusion-140205151929-phpapp01.pdf
approachtopleuraleffusion-140205151929-phpapp01.pdf
NellyPhiri5
 
Pleural effusion by nurse peter
Pleural effusion by nurse peterPleural effusion by nurse peter
Pleural effusion by nurse peter
Peter Shirima
 

Similar to 6.Pleural Effusions (20)

4 pleural effusions
4 pleural effusions4 pleural effusions
4 pleural effusions
 
Pleural disease
Pleural diseasePleural disease
Pleural disease
 
Pleuraleffusions
PleuraleffusionsPleuraleffusions
Pleuraleffusions
 
Pleural effusion ppt
Pleural effusion pptPleural effusion ppt
Pleural effusion ppt
 
approachtopleuraleffusion-140205151929-phpapp01.pdf
approachtopleuraleffusion-140205151929-phpapp01.pdfapproachtopleuraleffusion-140205151929-phpapp01.pdf
approachtopleuraleffusion-140205151929-phpapp01.pdf
 
Pleural effusion by nurse peter
Pleural effusion by nurse peterPleural effusion by nurse peter
Pleural effusion by nurse peter
 
Pleural Effusion
Pleural EffusionPleural Effusion
Pleural Effusion
 
Pleural Effusion lecture
Pleural Effusion lecturePleural Effusion lecture
Pleural Effusion lecture
 
Pleural effusion & nursing care
Pleural effusion & nursing carePleural effusion & nursing care
Pleural effusion & nursing care
 
Pleural effusion - Etiopathogenesis, Clinical features, Advances in Management
Pleural effusion - Etiopathogenesis, Clinical features, Advances in ManagementPleural effusion - Etiopathogenesis, Clinical features, Advances in Management
Pleural effusion - Etiopathogenesis, Clinical features, Advances in Management
 
Pleural effusion dr.anush
Pleural effusion dr.anushPleural effusion dr.anush
Pleural effusion dr.anush
 
Pleural Effusion for Undergraduates
Pleural Effusion for UndergraduatesPleural Effusion for Undergraduates
Pleural Effusion for Undergraduates
 
Pleuresy
PleuresyPleuresy
Pleuresy
 
Pleural effusion
Pleural effusionPleural effusion
Pleural effusion
 
Pleural effusion
Pleural effusionPleural effusion
Pleural effusion
 
hydrothorax presentation.pptx
hydrothorax presentation.pptxhydrothorax presentation.pptx
hydrothorax presentation.pptx
 
Surgery 5th year, 2nd lecture (Dr. Ahmed Al-Azzawi)
Surgery 5th year, 2nd lecture (Dr. Ahmed Al-Azzawi)Surgery 5th year, 2nd lecture (Dr. Ahmed Al-Azzawi)
Surgery 5th year, 2nd lecture (Dr. Ahmed Al-Azzawi)
 
Pleural effusion
Pleural effusionPleural effusion
Pleural effusion
 
Approach to a case of pleural effusion
Approach to a case of pleural effusionApproach to a case of pleural effusion
Approach to a case of pleural effusion
 
Pleural Effusion in Children-converted.pptx
Pleural Effusion in Children-converted.pptxPleural Effusion in Children-converted.pptx
Pleural Effusion in Children-converted.pptx
 

More from ghalan

Ct & mri of central nervous system
Ct & mri of central nervous systemCt & mri of central nervous system
Ct & mri of central nervous system
ghalan
 
Central nervous system
Central nervous systemCentral nervous system
Central nervous system
ghalan
 
Introduction skeletal radiology(11月20.)
Introduction skeletal radiology(11月20.)Introduction skeletal radiology(11月20.)
Introduction skeletal radiology(11月20.)
ghalan
 
Radiology of digestive system
Radiology of digestive systemRadiology of digestive system
Radiology of digestive system
ghalan
 
Liver,bile duct,pancreas and spleen
Liver,bile duct,pancreas and spleenLiver,bile duct,pancreas and spleen
Liver,bile duct,pancreas and spleen
ghalan
 
14 Valvular Heart Disease
14 Valvular Heart Disease14 Valvular Heart Disease
14 Valvular Heart Disease
ghalan
 
2 Primary Of Child Care And Infant Feeding
2 Primary Of Child Care And Infant Feeding2 Primary Of Child Care And Infant Feeding
2 Primary Of Child Care And Infant Feeding
ghalan
 
4 Congenital Heart Disease
4 Congenital Heart Disease4 Congenital Heart Disease
4 Congenital Heart Disease
ghalan
 
2 Primary Of Child Care And Infant Feeding
2 Primary Of Child Care And Infant Feeding2 Primary Of Child Care And Infant Feeding
2 Primary Of Child Care And Infant Feeding
ghalan
 
12 Tuberculosis Tanweiping
12 Tuberculosis Tanweiping12 Tuberculosis Tanweiping
12 Tuberculosis Tanweiping
ghalan
 
6 Neonatal Septicemia
6 Neonatal Septicemia6 Neonatal Septicemia
6 Neonatal Septicemia
ghalan
 
23 Ppt Itp
23 Ppt Itp23 Ppt Itp
23 Ppt Itp
ghalan
 
22 Purulent Meningitis
22 Purulent Meningitis22 Purulent Meningitis
22 Purulent Meningitis
ghalan
 
19 Acute Glomerulonephritis
19 Acute Glomerulonephritis19 Acute Glomerulonephritis
19 Acute Glomerulonephritis
ghalan
 
18 Rickets Of Vitamin D Deficiency,Tetany Of Vitamin D Deficiency
18 Rickets Of Vitamin D Deficiency,Tetany Of Vitamin D Deficiency18 Rickets Of Vitamin D Deficiency,Tetany Of Vitamin D Deficiency
18 Rickets Of Vitamin D Deficiency,Tetany Of Vitamin D Deficiency
ghalan
 
16 Infections Of The Respiratory Tract
16 Infections Of The Respiratory Tract16 Infections Of The Respiratory Tract
16 Infections Of The Respiratory Tract
ghalan
 
15 Genetic Diseases
15 Genetic Diseases15 Genetic Diseases
15 Genetic Diseases
ghalan
 
14 Primary Immunodeficiency Diseases
14 Primary Immunodeficiency Diseases14 Primary Immunodeficiency Diseases
14 Primary Immunodeficiency Diseases
ghalan
 
13 Fluid Therapy
13 Fluid Therapy13 Fluid Therapy
13 Fluid Therapy
ghalan
 
11 Measles
11 Measles11 Measles
11 Measles
ghalan
 

More from ghalan (20)

Ct & mri of central nervous system
Ct & mri of central nervous systemCt & mri of central nervous system
Ct & mri of central nervous system
 
Central nervous system
Central nervous systemCentral nervous system
Central nervous system
 
Introduction skeletal radiology(11月20.)
Introduction skeletal radiology(11月20.)Introduction skeletal radiology(11月20.)
Introduction skeletal radiology(11月20.)
 
Radiology of digestive system
Radiology of digestive systemRadiology of digestive system
Radiology of digestive system
 
Liver,bile duct,pancreas and spleen
Liver,bile duct,pancreas and spleenLiver,bile duct,pancreas and spleen
Liver,bile duct,pancreas and spleen
 
14 Valvular Heart Disease
14 Valvular Heart Disease14 Valvular Heart Disease
14 Valvular Heart Disease
 
2 Primary Of Child Care And Infant Feeding
2 Primary Of Child Care And Infant Feeding2 Primary Of Child Care And Infant Feeding
2 Primary Of Child Care And Infant Feeding
 
4 Congenital Heart Disease
4 Congenital Heart Disease4 Congenital Heart Disease
4 Congenital Heart Disease
 
2 Primary Of Child Care And Infant Feeding
2 Primary Of Child Care And Infant Feeding2 Primary Of Child Care And Infant Feeding
2 Primary Of Child Care And Infant Feeding
 
12 Tuberculosis Tanweiping
12 Tuberculosis Tanweiping12 Tuberculosis Tanweiping
12 Tuberculosis Tanweiping
 
6 Neonatal Septicemia
6 Neonatal Septicemia6 Neonatal Septicemia
6 Neonatal Septicemia
 
23 Ppt Itp
23 Ppt Itp23 Ppt Itp
23 Ppt Itp
 
22 Purulent Meningitis
22 Purulent Meningitis22 Purulent Meningitis
22 Purulent Meningitis
 
19 Acute Glomerulonephritis
19 Acute Glomerulonephritis19 Acute Glomerulonephritis
19 Acute Glomerulonephritis
 
18 Rickets Of Vitamin D Deficiency,Tetany Of Vitamin D Deficiency
18 Rickets Of Vitamin D Deficiency,Tetany Of Vitamin D Deficiency18 Rickets Of Vitamin D Deficiency,Tetany Of Vitamin D Deficiency
18 Rickets Of Vitamin D Deficiency,Tetany Of Vitamin D Deficiency
 
16 Infections Of The Respiratory Tract
16 Infections Of The Respiratory Tract16 Infections Of The Respiratory Tract
16 Infections Of The Respiratory Tract
 
15 Genetic Diseases
15 Genetic Diseases15 Genetic Diseases
15 Genetic Diseases
 
14 Primary Immunodeficiency Diseases
14 Primary Immunodeficiency Diseases14 Primary Immunodeficiency Diseases
14 Primary Immunodeficiency Diseases
 
13 Fluid Therapy
13 Fluid Therapy13 Fluid Therapy
13 Fluid Therapy
 
11 Measles
11 Measles11 Measles
11 Measles
 

Recently uploaded

Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service AvailableCall Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
perfect solution
 
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
tanya dube
 
Call Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service Available
Dipal Arora
 
Call Girls Kolkata Kalikapur 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
Call Girls Kolkata Kalikapur 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...Call Girls Kolkata Kalikapur 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
Call Girls Kolkata Kalikapur 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
Namrata Singh
 
Call Girls Coimbatore Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Coimbatore Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 8250077686 Top Class Call Girl Service Available
Dipal Arora
 
Top Rated Hyderabad Call Girls Chintal ⟟ 9332606886 ⟟ Call Me For Genuine Se...
Top Rated Hyderabad Call Girls Chintal ⟟ 9332606886 ⟟ Call Me For Genuine Se...Top Rated Hyderabad Call Girls Chintal ⟟ 9332606886 ⟟ Call Me For Genuine Se...
Top Rated Hyderabad Call Girls Chintal ⟟ 9332606886 ⟟ Call Me For Genuine Se...
chandars293
 
Call Girls Varanasi Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Varanasi Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 8250077686 Top Class Call Girl Service Available
Dipal Arora
 
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
parulsinha
 
Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
chandars293
 
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
chetankumar9855
 
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
parulsinha
 
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
Ishani Gupta
 
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
jennyeacort
 
Call Girls Mysore Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Mysore Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Mysore Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Mysore Just Call 8250077686 Top Class Call Girl Service Available
Dipal Arora
 
Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...
Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...
Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...
Anamika Rawat
 
Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...
Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...
Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...
khalifaescort01
 
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
Sheetaleventcompany
 
🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...
🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...
🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...
Call Girls In Delhi Whatsup 9873940964 Enjoy Unlimited Pleasure
 

Recently uploaded (20)

Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service AvailableCall Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
 
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
 
Call Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service Available
 
Call Girls Kolkata Kalikapur 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
Call Girls Kolkata Kalikapur 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...Call Girls Kolkata Kalikapur 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
Call Girls Kolkata Kalikapur 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
 
Call Girls Coimbatore Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Coimbatore Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 8250077686 Top Class Call Girl Service Available
 
Top Rated Hyderabad Call Girls Chintal ⟟ 9332606886 ⟟ Call Me For Genuine Se...
Top Rated Hyderabad Call Girls Chintal ⟟ 9332606886 ⟟ Call Me For Genuine Se...Top Rated Hyderabad Call Girls Chintal ⟟ 9332606886 ⟟ Call Me For Genuine Se...
Top Rated Hyderabad Call Girls Chintal ⟟ 9332606886 ⟟ Call Me For Genuine Se...
 
Call Girls Varanasi Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Varanasi Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 8250077686 Top Class Call Girl Service Available
 
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
 
Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
 
8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
 
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
 
Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...
Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...
Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...
 
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
 
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
 
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
 
Call Girls Mysore Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Mysore Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Mysore Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Mysore Just Call 8250077686 Top Class Call Girl Service Available
 
Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...
Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...
Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...
 
Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...
Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...
Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...
 
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
 
🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...
🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...
🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...
 

6.Pleural Effusions

  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7. Figure 1. Anatomy of the pleural space SC: Systemic capillaries PC: Pulmonary capillaries Dr. Canmao xie
  • 8. Figure 2. pleural fluids turnover PF enter the pleural space through parietal & visceral pleurae, And leave pleural space through lymphatics in parietal pleura Dr. Canmao xie
  • 9.
  • 10. Figure. Diagrammatic representation of the pressures involved in the formation and absorption of pleural fluid. Parietal Pleura Visceral Pleura Space Pleura Hydrostatic Pressure + 30 - 5 + 24 35 29 6 0 Net 29 29 + 34 + 5 +34 Oncotic Pressure Dr. Canmao xie
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17. A posteroanterior and lateral chest radiograph of pleural effusion blunting of the posterior costophrenic angle Dr. Canmao xie
  • 18.
  • 19.
  • 20.
  • 21.
  • 23.
  • 24.
  • 25.
  • 26.
  • 27.
  • 28.
  • 30. 肺腺癌 患者男性， 65 岁。 因“反复胸痛 5 月，呼吸困难 1 月，加重 1 周” 入院。胸水 CEA 增高。 镜下见：脏、壁层胸膜间粘连带形成，壁层胸膜、膈面见弥漫性结节样新生物，部分表面覆盖白色坏死组织，右上叶后段斜裂缘见白色息肉样肿物，右下叶表面多发灰色斑状浸润。病理示腺癌。
  • 31.
  • 32.
  • 33.
  • 35.
  • 36.
  • 37.
  • 38.
  • 39. Thank you for attention! Dr. Canmao xie