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Medicine

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Respiratory

Question
4 out of 15
 

Which one of the following conditions may lead to exudative pleural effusion (AIIMS May 2009)



A Cirrhosis
B Nephrotic syndrome

C Congestive heart failure
D Bronchogenic carcinoma

Ans. D

Bronchogenic carcinoma

Exudates due to increased leakiness of pleural capillaries secondary to infection, inflammation, or malignancy.

Causes

1). Bacterial Pneumonia;

2). TB;

3). Pulmonary infarction;

4). Rheumatoid arthritis;

5. Bronchogenic carcinoma;

6). SLE;

7). Lymphoma;
8). Mesothelioma;

8). Lymphangitis carcinomatosis

9). Viral

10). Meigs' syndrome (right pleural effusion and ovarian fibroma).

Investigations (Ref. Hari-18th ed., Table Pg- 2178)

Exudative pleural effusion has at least one of the following criteria

1). Pleural fluid protein/ serum protein > 0.5

2). Pleural fluid LDH/ serum LDH > 0.6

3). Pleural fluid LDH > 2/3 of upper limit of normal for serum LDH.

In an adult patient with plural effusion, the most appropriate site for pleurocentesis done by inserting a needle is in 7th intercostal space in mid axillary line

Respiratory Flashcard List

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