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Hemothorax: Blood Collection in Pleural Space

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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?

>2 liters initial volume through the Intercostal tube Signup and view all the answers

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

Blunt trauma causes more rapid accumulation of blood in the pericardial space Signup and view all the answers

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

Collapse of lung and crowding of ribs Signup and view all the answers

Why is blood in the pleural space considered very irritant?

It results in the deposition of a fibrin layer on the pleura Signup and view all the answers

What is a common complication associated with hemothorax?

Empyema infection Signup and view all the answers

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

To defibrinate the blood making it remain fluid Signup and view all the answers

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

Increased risk of empyema infection Signup and view all the answers