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Anatomy of the Heart and Lungs - Pleural Fluid

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Anatomy of the Heart and Lungs - Pleural Fluid

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Questions and Answers

What is the most appropriate initial management for a patient with a large amount of blood in the pleura?

Repeat aspiration until full lung expansion is achieved

Perform thoracotomy if the bleeding is persistent

Consider complete removal of the blood by thoracotomy

Insert an Intercostal Tube with underwater seal in the 5th Intercostal space (correct)

What percussion finding differentiates this condition from tension pneumothorax?

Absent breath sounds

Dullness (correct)

Decreased chest expansion

Hyperresonance

In which intercostal space should an Intercostal Tube be inserted for management of pleural blood?

6th intercostal space

5th intercostal space (correct)

4th intercostal space

2nd intercostal space

What imaging modality can help confirm the presence of pleural blood and lung collapse?

Chest X-ray Signup and view all the answers

When is thoracotomy indicated in cases of pleural blood?

If there is persistent bleeding despite conservative treatment Signup and view all the answers

What does ABCDE stand for in the management of pleural blood?

Airway, Breathing, Circulation, Disability, Exposure Signup and view all the answers

What finding on chest X-ray indicates possible pleural blood and lung collapse?

'Double diaphragm' sign Signup and view all the answers

What is the main difference between a tension pneumothorax and the condition described in the text?

'Dullness' on percussion Signup and view all the answers

Which of the following is NOT an indication for thoracotomy in cases of pleural blood?

'Butterfly' pattern in mediastinum seen on imaging Signup and view all the answers

'Obliteration of costophrenic angle' seen on chest X-ray suggests which of the following conditions?

Hemothorax Signup and view all the answers