5 Written Questions
5 Matching Questions
- dx of Pleural Effusion
- tx of pnemo
- Closed Pneumo
- a Pleural space NOT in direct contact with atmosphere.
- b Fluid aspirated through needle inserted into chest wall to dx and remove ALL the fuid
- c Thin, watery fluid, FEW blood cells, PULMONARY CAPILLARIES LEAK to pleural space.
- d Breath sounds(Abscent over the effusion), Percussion, Dull or Flat over FLUID, CXR
- e <20%, NO tx..>20%..pleurodesis, Supportive O2 therapy, Thoracentesis, Chest tube, Surgical
5 Multiple Choice Questions
- Occurs during diagnostic or therapeutic procedure..ex. mech ventilation, thoracentesis, biopsy, chest tube insertion, tracheostomy.
- Unsuspected, Arise in healty people without cause, 20-40 year old men, tall and thin...Rupture of bleb(blister on lung surface)
- MOST DEADLY, ACUTE DISTRESS.."one way valve" Air enters on Inspiration, but can't escape..Air gets trapped, compressing the intrathoracic vessels impairing venous return CAUSING reduced cardiac output, hypoxemia.
- Sudden dyspnea, dry cough, chest pain, cyanosis, tachycardia HYPERRESONANT percussion, ABSCENT breath sounds, Tracheal deviation AWAY from affected side, Subcutaneous emphysema
- accumulation of PUS in pleural space, INFECTION, INFLAMMATION
5 True/False Questions
Exudate → Video Assisted thoracic surgery...staples, bullectomy
Pleurodesis → Air accumulation in pleural space..trachial deviation AWAY from affected side
Deep Sulcus Sign → radiologic finding in a pneumo..costraphrenic angle dipped down.
Bleb larger than 5 cm is called a → Bullae
dx of pnemo → CXR.