Hemothorax: Blood Collection in Pleural Space

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Questions and Answers

What is the primary cause of cardiac tamponade in traumatic cases?

  • Ruptured aortic aneurysm
  • Kidney disease
  • Source of bleeding such as cardiac wall rupture or coronary vessel injury (correct)
  • Malignancy

What is the significance of the parietal pericardial layer with respect to cardiac tamponade?

  • It cannot accommodate rapid rates of accumulation (correct)
  • It interferes with cardiac relaxation and ventricular filling
  • It easily accommodates rapid accumulation of 200ml/hr
  • It accommodates up to 2 liters of fluid accumulation

What is the most reliable diagnostic criteria for systemic congestion in cardiac tamponade?

  • Congested neck veins (correct)
  • Enlarged tender liver
  • Ascites Precox
  • Kussmaul's sign

In which situation would thoracotomy be indicated for treating hemothorax?

<p>&gt;2 liters initial volume through the Intercostal tube (D)</p> Signup and view all the answers

What differentiates penetrating trauma from blunt trauma as an etiology of cardiac tamponade?

<p>Blunt trauma causes more rapid accumulation of blood in the pericardial space (D)</p> Signup and view all the answers

What is the main outcome of neglected hemothorax according to the text?

<p>Collapse of lung and crowding of ribs (B)</p> Signup and view all the answers

Why is blood in the pleural space considered very irritant?

<p>It results in the deposition of a fibrin layer on the pleura (A)</p> Signup and view all the answers

What is a common complication associated with hemothorax?

<p>Empyema infection (A)</p> Signup and view all the answers

Why do respiratory and cardiac movements impact the blood in the pleural space?

<p>To defibrinate the blood making it remain fluid (C)</p> Signup and view all the answers

What is the consequence of blood being an excellent culture according to the text?

<p>Increased risk of empyema infection (A)</p> Signup and view all the answers

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