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Coal Apslung is admitted to the ICU for the fifth time this year for what you
suspect to be another case of pleural effusion of the left lung. You order an
PA CXR to just to confirm your suspicion. What location might interest you
the MOST when looking at the film? Why?
a.) Costomediastinal recesses
b.) Costodiaphragmatic recceses
c.) Costomediastinal anteriorly
d.) Cupular region - 🧠 ANSWER ✔✔B.) Costodiaphragmatic recess
,Normal chest x-rays would display a sharp costodiaphragmatic recess, but
a person suffering from pneumothorax or pleural effusion would have a
blunted end at the costodiaphragmatic recess.
You are worried something else might be going on with Coal Apslung, so
you also ordered a lateral CXR at the same time as the PA. Your professor
always talks about how useful PA CXRs are, so why in the world would you
do a lateral CXR? Are you trying to rob this guy's insurance company? - 🧠
ANSWER ✔✔Incase the patient has pneumonia, you can determine which
lobes are affected. PA chest x-rays only show the left upper lobe, right
upper lobe, and right middle lobe. They do not show the left and right lower
lobes. Pneumonia is a common cause of pleural effusions.
The CXRs are finished, and, as you originally suspected, it appears that
Coal Apslung has another pleural effusion. What might be the BEST
treatment for Coal Apslung that would also decrease the likelihood of this
happening again in the future?
a.) Thoracentesis
b.) Pleuroperitoneal shunt
c.) Pleurodesis
, d.) B and C
e.) All of the above - 🧠 ANSWER ✔✔D.) B and C
Thoracentesis is the most common technique used to drain excess fluid
from the pleura space, but the pleuroperitoneal shunt and pleurodosis
would be better treatment procedures for someone who has recurrent
pneumothorax or pleural effusions. Pleurodosis is the insertion of talc into
the pleura to keep tension between the visceral and parietal pleura.
Pleuroperitoneal shunt is a shunt from the pleura to the peritoneal space
(as the name implies) that is used to drain fluid buildup from the pleura into
the peritoneal space.
For the most part, our body is pretty symmetrical... but the lungs are
significantly different on the left and right side. What's the general
anatomical difference? Explain why to yourself.
a.) The right lung has 1 extra lobe, it is more narrow, and it is shorter.
b.) The left lung has 1 extra lobe, it is more narrow, and it is longer.
c.) The right lung has 1 less lobe, it is more wide, and it is shorter.
d.) The left lung has 1 less lobe, it is more narrow, and it is longer. - 🧠
ANSWER ✔✔d.) The left lung has 1 less lobe, it is more narrow, and it is
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