Space occupying process

within pleura

Giang Thao_subgr4
 The distinguished criteria
• Causes
• Symptoms
• Physical examination
• Chest radiography
• In which diseases
• Treatment

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 Cause & Etiology
• Effusion pleural • Pneumothorax
- Spontaneous
- Exudate effusion pneumothorax:
local factor primary or secondary

- Transudate effusion - Traumatic

pneumothorax
* freely flowing fluid or
loculated fluid - Tension pneumothorax
* positive pleural
pressure

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 Symptoms
Effusion Pneumothorax

Dyspnea
Chest pain

Chest pain Dyspnea, dysphonia

Cough Cough
Patient posture Patient posture
Fever Cyanosis

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 Symptoms
In physical examination:
- Vibration diminished or even absent
- Dullness in P.E & hyperresonant in PT
- Vesicular breath sound diminished or
absent

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 Chest radiography
• Standard posteroanterior view
• Lateral decubitus view
• Lateral view
• Anteroposterior view

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 Chest radiography

left side pleural effusion Left side pneumothorax #

 Chest radiography

Pneumothorax P.effusion Normal #

 Chest radiography

COPD Pleuritis #
 Chest radiography

Pneumothorax Hemopneumothorax #
 Chest radiography

Tuberculosis Loculated pneumothorax #

 Most popular disease
Pleural effusion Pneumothorax
Exudate Transudative
Bacterial pneumonia: Heart failure
tuberculous
COPD
Hepatic hydrothorax
pleuritis Traumatic pneumothorax
Maglinancy Iatrogenic pneumothorax
Meig’s syndrome
Viral infection
Pulmonary embolism

Hemopneumothorax: laceration of pleura and rupture of a blood

vessel due to trauma

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 Treatment
Pleural effusion Pneumothorax

-Tube thoracostomy 1. Aspiration

with chest tube 2. Tube thoracostomy
drainage bleb resection
pleural abrasion
instillation sclerosis agent
-Treatment according
3. Thoracoscopy
to causes

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Thanks you !