Podcast
Questions and Answers
What is the most appropriate initial management for a patient with a large amount of blood in the pleura?
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?
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?
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?
What imaging modality can help confirm the presence of pleural blood and lung collapse?
When is thoracotomy indicated in cases of pleural blood?
When is thoracotomy indicated in cases of pleural blood?
What does ABCDE stand for in the management of pleural blood?
What does ABCDE stand for in the management of pleural blood?
What finding on chest X-ray indicates possible pleural blood and lung collapse?
What finding on chest X-ray indicates possible pleural blood and lung collapse?
What is the main difference between a tension pneumothorax and the condition described in the text?
What is the main difference between a tension pneumothorax and the condition described in the text?
Which of the following is NOT an indication for thoracotomy in cases of pleural blood?
Which of the following is NOT an indication for thoracotomy in cases of pleural blood?
'Obliteration of costophrenic angle' seen on chest X-ray suggests which of the following conditions?
'Obliteration of costophrenic angle' seen on chest X-ray suggests which of the following conditions?
