10 Questions
What is the most appropriate initial management for a patient with a large amount of blood in the pleura?
Insert an Intercostal Tube with underwater seal in the 5th Intercostal space
What percussion finding differentiates this condition from tension pneumothorax?
Dullness
In which intercostal space should an Intercostal Tube be inserted for management of pleural blood?
5th intercostal space
What imaging modality can help confirm the presence of pleural blood and lung collapse?
Chest X-ray
When is thoracotomy indicated in cases of pleural blood?
If there is persistent bleeding despite conservative treatment
What does ABCDE stand for in the management of pleural blood?
Airway, Breathing, Circulation, Disability, Exposure
What finding on chest X-ray indicates possible pleural blood and lung collapse?
'Double diaphragm' sign
What is the main difference between a tension pneumothorax and the condition described in the text?
'Dullness' on percussion
Which of the following is NOT an indication for thoracotomy in cases of pleural blood?
'Butterfly' pattern in mediastinum seen on imaging
'Obliteration of costophrenic angle' seen on chest X-ray suggests which of the following conditions?
Hemothorax
Learn about the location and content of pleural fluid in the potential space between the parietal and visceral pleura of the lungs. Understand its functions in lubricating, preventing friction, and maintaining surface tension during respiration.
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