pleural effusion, pleurocentesis was done showed low pH + exudate, Patient had pneumonia before, and now developed pleural effusion, what is the cause?
سؤال مجاني 5 من 10 اليوم · اشترك وكمّل بدون حد
اعرض الإجابة
الإجابة والشرح
ادخل لحسابك عشان نحفظ إجاباتك ونوريك أخطاءك.
المصادر مختلفة. ملفات الدفعة فيها إجابتين، وما نرجّح وحدة على الثانية. سبب كل وحدة في الشرح تحت:
- إجابة: B. Parapneumonic effusion
- إجابة ثانية: A. Empyema
In the main lecture (BTS classification), an exudate after pneumonia with pH <7.2 but no frank pus or positive Gram stain/culture is a complicated parapneumonic effusion; empyema means pus in the pleural space. Step Up also says pH <7.2 can be either. But the resident lecture and a student summary label pH <7.2 / glucose <60 / LDH >1000 as empyema, which is the old bank key (A). Either way, the effusion needs chest tube drainage.
ليش كل خيار صح أو غلط
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A
ليش صح
Supported by the Pulmonology summary, which labels pH below 7.2, glucose below 60, LDH above 1000 and a positive culture as suggestive of empyema.
✓ Pulmonology 🫁.pdf · p. 20 -
B
ليش صح
Supported by the BTS classification in the Pleural effusions slides: pH below 7.2, LDH above 1000 and low glucose with clear or turbid fluid and a negative Gram stain/culture is a complicated parapneumonic effusion; the slides reserve empyema for frank pus or a positive Gram stain/culture.
✓ Plerual effusions.pdf · p. 24
- المصدر
- Pleural effusion.pdf · p. 6
Plerual effusions.pdf · p. 24
Pulmonology 🫁.pdf · p. 20 - المحاضرة
- Pleural Effusion & Pneumothorax · Pulmonology · Module B
- ظهر في
- Respi bank