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Medicine

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Respiratory

Question
15 out of 15
 

In an adult patient with plural effusion, the most appropriate site for pleurocentesis done by inserting a needle is in: (DNB June 2010)



A 5th intercostals space in midclavicular line

B 7th intercostal space in mid axillary line

C 2nd intercostals space adjacent to the sternum

D 10th intercostal space adjacent to the vertebral column

Ans. B

7th intercostal space in mid axillary line

Management is of the underlying cause.

Drainage If the effusion is symptomatic, drain it, repeatedly if necessary. Fluid is best removed slowly. It may be aspirated

in the same way as a diagnostic tap, or using an intercostal drain.

Extra Edge: Site of pleural effusion drainage is seventh intercostal space in mid-axillary line.

Extra Edge: -

1). Pleurodesis with tetracycline Q, bleomycin Q, or talcQ may be helpful for recurrent effusions.

2). Thoracoscopic talc pleurodesis is most effective for malignant effusion

3). Drug-induced Pleural Disease

a. Nitrofurantoin

b. Dantrolene

c. Methysergide

d. Bromocriptine

e. Procarbazine

f. Amiodarone

g. Dasatinib

Respiratory Flashcard List

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