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47. pleurisy

Pleural inflammation. Distinguish between dry and exudative. The nature of the inflammatory exudate is serous, serous-fibrous, purulent, hemorrhagic. Etiology and pathogenesis. Tuberculosis bacillus, pneumococcus, staphylococcus, as well as bronchogenic lung cancer, injuries, rheumatism. Usually pleurisy occurs as a reaction of the pleura to pathological changes in neighboring organs. Serous pleurisy often occurs as a manifestation of an allergic reaction. Purulent pleurisy is most often a complication of bronchopneumonia. Pleural inflammation always occurs with an increase in the permeability of the wall of the damaged capillaries of the pulmonary pleura. With fibrinous or dry pleurisy, fibrin falling out of the exudate gradually leads to the formation of pleural deposits in the pleura (pleural thickening). Dry pleurisy. Clinic - pain in the chest, aggravated by breathing and coughing. The cough is usually dry, malaise, subfeb. Temperature, shallow breathing. On examination, the lag of the affected half in the act of breathing. Percussion: decreased mobility of the pulmonary margin on the affected side.
During auscultation, pleural friction noise. The course proceeds favorably and after 1-3 weeks. Usually passes without a trace. Exudative pleurisy. Clinic - fever, pain or heaviness in the side, shortness of breath, signs of intoxication. The general condition is serious, especially with purulent. On examination - asymmetry of the chest due to the affected half, lag in the act of breathing. Voice jitter in the area of ​​fluid accumulation is not carried out. When percussion over the area where the liquid is located - a dull sound. During auscultation, breathing is not heard or is sharply weakened. When fluoroscopy - homogeneous dimming. Treatment: treatment of causes: rheumatism (sulfonamides, corticosteroids), pneumonia (antibiotics), tuberculosis (PASK, streptomycin, kanamycin). Symptomatic treatment - restorative therapy, vitamins, desensitizing agents. Absorbable treatment in the form of thermal procedures - warming compresses. With purulent - removal of purulent effusions.
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47. pleurisy

  1. Pleurisy
    Pleurisy is an acute inflammation of the pleura. By etiology, pleurisy is divided into: Infectious: staphylococcal, pneumococcal, tuberculous, viral, parasitic, etc. Non-infectious: inflammatory - allergic, autoimmune (collagenoses), post-traumatic; congestive (heart failure, etc.); dysproteinemic (nephrotic syndrome, cirrhosis of the liver, myxedema); tumor. In the table.
  2. Pleurisy
    This term usually refers to inflammation of the pleura with the formation of fibrin on their surface or the accumulation of exudate of one nature or another in the pleural cavity. The main clinical manifestations of pleurisy is a pathological condition that complicates the course of various processes both in the lungs and in the formations adjacent to the pleura - the chest wall, mediastinum, diaphragm,
  3. Staphylococcal pneumonia. Pleurisy in children
    Questions for repetition: 1. What is non-specific immunological tolerance? 2. Enzymes and toxins of staphylococcus. Control questions: 1. Factors predisposing to the development of staphylococcal pneumonia. 2. Sources and distribution pathways of staphylococcal infection. Morphological changes in the lungs with staphylococcal pneumonia. 3. The clinical picture of staphylococcal pneumonia in children. 4.
  4. Pleurisy (code J 90)
    Definition Pleurisy is a clinical and morphological syndrome characterized by inflammation of the pleura with the formation of fibrin on their surface (dry pleurisy) or the accumulation of fluid in the pleural cavity (exudative pleurisy). Statistics. According to R.U. Light (1996), for a population of about 370 million people in the United States, 1 million patients with pleural effusion are registered annually. Statistical development
  5. Pleurisy
    Pleurisy is an inflammation of the pleural sheets, accompanied by the formation of fibrous deposits on their surface and (or) the accumulation of fluid in the pleural region. This is not an independent disease, but a manifestation of other diseases. Etiology 1. Infections: more often tuberculosis, coccal infection (pneumococci, staphilo, streptococci), less commonly Escherichia coli, and even less often facultative anaerobes. In the last
  6. Pleurisy
    Pleurisy is an inflammation of the pleural sheets, accompanied by exudation of one or another character in the pleural cavity. As a rule, pleurisy is not an independent disease, but is a pathological condition that complicates the course of certain processes in
  7. CANCER PLEURITIES
    There may be a primary lesion - pleural mesothelioma (rarely). It can be diffuse and nodular. 2 leaflets are affected. High malignancy, rapid growth. A large volume of effusion, more than 2 liters. This amount is immediately dangerous to display. Fluid withdrawal is compensated in a matter of days. With ordinary pleurisy, pain at the very beginning, with the accumulation of fluid, severe pain associated with breathing disappears, dull
  8. Pleurisy treatment
    General reasoning It is necessary to delay the matter toward the tumor and reject it with the help of emptying and [drugs] that distract the matter in the opposite direction. Have [the doctor] read what we described in the previous paragraph; sometimes we will have to repeat what is said. We say: a cure for this disease is bloodletting if the blood overcomes. 63
  9. ETIOLOGY.
    All pleurisy is divided into infectious and non-infectious (aseptic), in which the inflammatory process in the pleura occurs without the direct participation of pathogenic microorganisms. An important cause of pleurisy is the causative agent of acute pneumonia and acute pulmonary suppuration: pneumococcus, staphylococcus, gram-negative bacilli, etc. Of great importance in the occurrence of pleurisy are mycobacterium tuberculosis.
  10. Pleurisy
    Pleurisy - acute or chronic inflammation of the pleura (serous membrane of the lungs). The main symptoms of pleurisy are acute chest pain, a very strong and painful dry cough, shortness of breath, high fever and palpitations. See the article EASY (PROBLEMS), with the addition that a person experiences displeasure and restrains emotions. Pleurisy patient must allow himself
  11. Pleural inflammation (pleurisy)
    Pleurisy is an inflammation of the pleural sheets, often accompanied by an accumulation of fluid in the pleural cavity. Pleurisy in children often develop a second time as a result of pathological processes in the lungs. Distinguish between infectious and non-infectious pleurisy. More often in children, they accompany pneumonia. The causative agents of infectious pleurisy can be pneumococcus, streptococcus, tubercle bacillus, etc.
  12. Case management
    Purpose of treatment: complete cure of the patient with specific and non-specific infectious pleurisy, pleurisy due to trauma, with pancreatitis, pulmonary thromboembolism, Dressler syndrome. In other cases - the achievement of remission, symptomatic improvement. Tasks: • etiotropic therapy; • pathogenetic therapy; • symptomatic therapy. Organization of treatment.
  13. PATHOGENESIS
    The pathways of microorganisms into the pleural cavity are different. Direct infection of the pleura from subpleurally located pulmonary foci. Lymphogenic infection of the pleura may be due to a retrograde flow of tissue fluid from the depth to the surface of the lung. The hematogenous pathway is less important and occurs through the formation of foci in the subpleural layer of the lung. Direct
  14. DIAGNOSIS OF PRIMARY AND METASTATIC TUMORS OF THE PLEURA USING THE IMMUNO-CYTOCHEMICAL METHOD
    Grigoruk O.G., Bazulina L.M., Lazarev A.F., Bogatyrev V.N. Altai branch of the Russian National Center for Surgery named after N.N. Blokhin of the Russian Academy of Medical Sciences, State Institution "Altai Regional Oncology Center", Barnaul; Research Center named after NN Blokhin RAMS, Moscow Objective: To study the diagnostic value of using the immunocytochemical method in the differential diagnosis of primary and metastatic pleural tumors in
  15. Festering pleurisy of rabbits
    Purulent pleurisy rabbits often get sick. This is usually observed in early spring with their crowded content. In most cases, young animals are ill. The causative agent is a polymorphic stick surrounded by a capsule. Pre-slaughter diagnostics. The disease occurs with pleurisy symptoms: cough, chest wall soreness, fever. Post-mortem diagnosis. In the chest cavity and pleura
  16. Pleurisy
    Pleurisy - a term that refers to inflammation of the pleura with the formation of fibrin on their surface or the accumulation of exudate of one nature or another in the pleural cavity. The same term refers to processes in the pleural cavity, accompanied by an accumulation of pathological effusion, when the inflammatory nature of the pleural changes does not seem indisputable (carcinomatous pleurisy).
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