SlideShare a Scribd company logo

Pleural Effusions

•Download as PPT, PDF•
•
Sumit Prajapati
Sumit Prajapati
Health & MedicineTechnology
1 of 42
Pleural Effusions Can-mao Xie Dept. of Pulmonary & Critical Care Medicine 1 st Affiliated Hospital of Sun-Yat Sen University Dr. Canmao xie
Contents ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Dr. Canmao xie
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Introduction Dr. Canmao xie
Introduction ,[object Object],[object Object],Dr. Canmao xie
[object Object],[object Object],[object Object],Anatomy of the Pleural Space Dr. Canmao xie SC: Systemic capillaries PC: Pulmonary capillaries
[object Object],[object Object],Anatomy of the Pleural Space Dr. Canmao xie SC: Systemic capillaries PC: Pulmonary capillaries
Figure 1. Anatomy of the pleural space SC: Systemic capillaries PC: Pulmonary capillaries Dr. Canmao xie stomas stomas electronic microscopy
Figure 2. pleural fluids turnover PF enter the pleural space through parietal & visceral pleurae, And leave pleural space through lymphatics in parietal pleura Dr. Canmao xie
[object Object],[object Object],[object Object],Mechanism of pleural fluids turnover Dr. Canmao xie
Figure. Diagrammatic representation of the pressures involved in the formation and absorption of pleural fluid. Parietal Pleura Visceral Pleura Space Pleura Hydrostatic Pressure + 30 - 5 + 24 35 29 6 0 Net 29 29 + 34 + 5 +34 Oncotic Pressure Dr. Canmao xie
Mechanism of pleural fluids turnover ,[object Object],[object Object],Dr. Canmao xie
Pathophysiology ,[object Object],[object Object],[object Object],[object Object],Dr. Canmao xie
[object Object],[object Object],Pathophysiology Dr. Canmao xie
Etiology and Pathogenesis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Dr. Canmao xie
Clinical Manifestations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Dr. Canmao xie
Physical Examinations ,[object Object],[object Object],[object Object],[object Object],[object Object],Dr. Canmao xie Bronchial breath sounds Diminished breath sounds
Radiographic Appearance ,[object Object],[object Object],Dr. Canmao xie
A posteroanterior and lateral chest radiograph of pleural effusion blunting of the posterior costophrenic angle Dr. Canmao xie
[object Object],[object Object],Radiographic Appearance Dr. Canmao xie
Approach to the Patient with Pleural Effusion ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Dr. Canmao xie
Light RW. Clin Chest Med, 2006,27:309-319 Etiology of pleural effusions
Appearance of the Pleural Fluid ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Dr. Canmao xie
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Appearance of the Pleural Fluid Dr. Canmao xie
Separating exudates from transudates ,[object Object],[object Object],[object Object],[object Object],Dr. Canmao xie Dr. Light raised the Light’s criteria when he was at age of 32 LDH=lactate dehydrogenase
Dr. Canmao xie
Routine tests on exudative pleural effusions ,[object Object],[object Object],[object Object],Dr. Canmao xie
Cell count and differential ,[object Object],[object Object],[object Object],[object Object],Dr. Canmao xie
Pleural fluid glucose levels ,[object Object],[object Object],Dr. Canmao xie
Pleural fluid LDH level ,[object Object],[object Object],Dr. Canmao xie
Pleural fluid pH ,[object Object],[object Object],[object Object],Dr. Canmao xie
Pleural fluid tests for malignancy ,[object Object],[object Object],[object Object],[object Object],[object Object],Dr. Canmao xie
Malignant effusions Dr. Canmao xie
肺腺癌 患者男性， 65 岁。 因“反复胸痛 5 月，呼吸困难 1 月，加重 1 周” 入院。胸水 CEA 增高。 镜下见：脏、壁层胸膜间粘连带形成，壁层胸膜、膈面见弥漫性结节样新生物，部分表面覆盖白色坏死组织，右上叶后段斜裂缘见白色息肉样肿物，右下叶表面多发灰色斑状浸润。病理示腺癌。
Pleural fluid markers for tuberculosis ,[object Object],[object Object],[object Object],Dr. Canmao xie
Parapneumonic Effusion ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Dr. Canmao xie
Tuberculous Pleural Effusions ,[object Object],[object Object],[object Object],[object Object],[object Object],Dr. Canmao xie
Tuberculous Pleurisy Dr. Canmao xie
Management of Tuberculous Pleural Effusions ,[object Object],[object Object],[object Object],Dr. Canmao xie
Malignant Pleural Effusions ,[object Object],[object Object],[object Object],[object Object],Dr. Canmao xie
Management of malignant pleural effusion ,[object Object],[object Object],[object Object],[object Object],[object Object],Dr. Canmao xie
Diagnostic and Treatment Workup of a Pleural Effusion ,[object Object],[object Object],[object Object],[object Object],Dr. Canmao xie
Thank you for attention! Dr. Canmao xie

Recommended

Pleural effusion
Pleural effusionPleural effusion
Pleural effusionNirav Dhinoja
 
Approach to pleural effusion
Approach to pleural effusionApproach to pleural effusion
Approach to pleural effusionMuhammad Asim Rana
 
Pleural Effusion for Undergraduates
Pleural Effusion for UndergraduatesPleural Effusion for Undergraduates
Pleural Effusion for UndergraduatesSesha Sai
 
Pleural effusion
Pleural effusionPleural effusion
Pleural effusionAyman Sultan
 
20.5.pleural effusion &empyema
20.5.pleural effusion &empyema20.5.pleural effusion &empyema
20.5.pleural effusion &empyemapediatricsmgmcri
 
Updates in Parapneumonic Effusion and Empyema
Updates in Parapneumonic Effusion and EmpyemaUpdates in Parapneumonic Effusion and Empyema
Updates in Parapneumonic Effusion and EmpyemaGamal Agmy
 
Pleural diseases
Pleural diseasesPleural diseases
Pleural diseasesOriba Dan Langoya
 
Anatomy of mediastinum and its disorders
Anatomy of mediastinum and its disordersAnatomy of mediastinum and its disorders
Anatomy of mediastinum and its disordersGIREESH G
 

Recommended

Pleural effusion
Pleural effusionPleural effusion
Pleural effusionNirav Dhinoja
 
Approach to pleural effusion
Approach to pleural effusionApproach to pleural effusion
Approach to pleural effusionMuhammad Asim Rana
 
Pleural Effusion for Undergraduates
Pleural Effusion for UndergraduatesPleural Effusion for Undergraduates
Pleural Effusion for UndergraduatesSesha Sai
 
Pleural effusion
Pleural effusionPleural effusion
Pleural effusionAyman Sultan
 
20.5.pleural effusion &empyema
20.5.pleural effusion &empyema20.5.pleural effusion &empyema
20.5.pleural effusion &empyemapediatricsmgmcri
 
Updates in Parapneumonic Effusion and Empyema
Updates in Parapneumonic Effusion and EmpyemaUpdates in Parapneumonic Effusion and Empyema
Updates in Parapneumonic Effusion and EmpyemaGamal Agmy
 
Pleural diseases
Pleural diseasesPleural diseases
Pleural diseasesOriba Dan Langoya
 
Anatomy of mediastinum and its disorders
Anatomy of mediastinum and its disordersAnatomy of mediastinum and its disorders
Anatomy of mediastinum and its disordersGIREESH G
 
Approaches to pleural effusion
Approaches to pleural effusionApproaches to pleural effusion
Approaches to pleural effusionDr Slayer
 
Pleural effusion
Pleural effusionPleural effusion
Pleural effusionAaron Mascarenhas
 
Pleural effusion ppt
Pleural effusion pptPleural effusion ppt
Pleural effusion pptMosese HULKSTAH Tuapati JNR
 
Pneumothorax
Pneumothorax Pneumothorax
Pneumothorax BPT4thyearJamiaMilli
 
Pleural effusion
Pleural effusionPleural effusion
Pleural effusionahmad tanweer
 
Pulmonary embolism notes 2021
Pulmonary embolism notes 2021Pulmonary embolism notes 2021
Pulmonary embolism notes 2021Best Doctors
 
Pleural effusion
Pleural effusionPleural effusion
Pleural effusionGreeshma Mandali
 
Pulmonary echinococcosis
Pulmonary echinococcosisPulmonary echinococcosis
Pulmonary echinococcosisMahmoud Elhusseiny Abolmagd
 
Diseases of the pleura
Diseases of the pleura Diseases of the pleura
Diseases of the pleura Pratap Tiwari
 
Pleural effusion
Pleural effusionPleural effusion
Pleural effusionHiba Ashibany
 
Pleural effusion
Pleural effusionPleural effusion
Pleural effusionEyad Miskawi
 
Pleural effusion
Pleural effusionPleural effusion
Pleural effusionChetan Ganteppanavar
 
Pneumothorax
PneumothoraxPneumothorax
PneumothoraxAnagha Anand
 
Pleural empyema dr.tinku joseph
Pleural empyema dr.tinku josephPleural empyema dr.tinku joseph
Pleural empyema dr.tinku josephDr.Tinku Joseph
 
Pleural effusion
Pleural effusionPleural effusion
Pleural effusionGAMANDEEP
 
Pleural effusion
Pleural effusionPleural effusion
Pleural effusionDR .PALLAVI PATHANIA
 
Common suppurative diseases of lung- Bronchiectasis...!
Common suppurative diseases of lung- Bronchiectasis...!Common suppurative diseases of lung- Bronchiectasis...!
Common suppurative diseases of lung- Bronchiectasis...!Sharmin Susiwala
 
Pleural effusion
Pleural effusion Pleural effusion
Pleural effusion HAMAD DHUHAYR
 
Alveolar hemorrhage
Alveolar hemorrhageAlveolar hemorrhage
Alveolar hemorrhagePRABHAKAR K
 
Pulmonary sequestration ppt
Pulmonary sequestration pptPulmonary sequestration ppt
Pulmonary sequestration pptprapulla chandra
 
6.Pleural Effusions
6.Pleural Effusions6.Pleural Effusions
6.Pleural Effusionsghalan
 
Pleural disease
Pleural diseasePleural disease
Pleural diseasehemin sab
 

More Related Content

What's hot

Approaches to pleural effusion
Approaches to pleural effusionApproaches to pleural effusion
Approaches to pleural effusionDr Slayer
 
Pulmonary embolism notes 2021
Pulmonary embolism notes 2021Pulmonary embolism notes 2021
Pulmonary embolism notes 2021Best Doctors
 
Diseases of the pleura
Diseases of the pleura Diseases of the pleura
Diseases of the pleura Pratap Tiwari
 
Pleural empyema dr.tinku joseph
Pleural empyema dr.tinku josephPleural empyema dr.tinku joseph
Pleural empyema dr.tinku josephDr.Tinku Joseph
 
Pleural effusion
Pleural effusionPleural effusion
Pleural effusionGAMANDEEP
 
Common suppurative diseases of lung- Bronchiectasis...!
Common suppurative diseases of lung- Bronchiectasis...!Common suppurative diseases of lung- Bronchiectasis...!
Common suppurative diseases of lung- Bronchiectasis...!Sharmin Susiwala
 
Alveolar hemorrhage
Alveolar hemorrhageAlveolar hemorrhage
Alveolar hemorrhagePRABHAKAR K
 
Pulmonary sequestration ppt
Pulmonary sequestration pptPulmonary sequestration ppt
Pulmonary sequestration pptprapulla chandra
 

What's hot (20)

Approaches to pleural effusion
Approaches to pleural effusionApproaches to pleural effusion
Approaches to pleural effusion
 
Pleural effusion
Pleural effusionPleural effusion
Pleural effusion
 
Pleural effusion ppt
Pleural effusion pptPleural effusion ppt
Pleural effusion ppt
 
Pneumothorax
Pneumothorax Pneumothorax
Pneumothorax
 
Pleural effusion
Pleural effusionPleural effusion
Pleural effusion
 
Pulmonary embolism notes 2021
Pulmonary embolism notes 2021Pulmonary embolism notes 2021
Pulmonary embolism notes 2021
 
Pleural effusion
Pleural effusionPleural effusion
Pleural effusion
 
Pulmonary echinococcosis
Pulmonary echinococcosisPulmonary echinococcosis
Pulmonary echinococcosis
 
Diseases of the pleura
Diseases of the pleura Diseases of the pleura
Diseases of the pleura
 
Pleural effusion
Pleural effusionPleural effusion
Pleural effusion
 
Pleural effusion
Pleural effusionPleural effusion
Pleural effusion
 
Pleural effusion
Pleural effusionPleural effusion
Pleural effusion
 
Pneumothorax
PneumothoraxPneumothorax
Pneumothorax
 
Pleural empyema dr.tinku joseph
Pleural empyema dr.tinku josephPleural empyema dr.tinku joseph
Pleural empyema dr.tinku joseph
 
Pleural effusion
Pleural effusionPleural effusion
Pleural effusion
 
Pleural effusion
Pleural effusionPleural effusion
Pleural effusion
 
Common suppurative diseases of lung- Bronchiectasis...!
Common suppurative diseases of lung- Bronchiectasis...!Common suppurative diseases of lung- Bronchiectasis...!
Common suppurative diseases of lung- Bronchiectasis...!
 
Pleural effusion
Pleural effusion Pleural effusion
Pleural effusion
 
Alveolar hemorrhage
Alveolar hemorrhageAlveolar hemorrhage
Alveolar hemorrhage
 
Pulmonary sequestration ppt
Pulmonary sequestration pptPulmonary sequestration ppt
Pulmonary sequestration ppt
 

Similar to Pleural Effusions

6.Pleural Effusions
6.Pleural Effusions6.Pleural Effusions
6.Pleural Effusionsghalan
 
Pleural disease
Pleural diseasePleural disease
Pleural diseasehemin sab
 
Pleural Effusion lecture
Pleural Effusion lecturePleural Effusion lecture
Pleural Effusion lectureBasilQuran
 
Pleural effusion by nurse peter
Pleural effusion by nurse peterPleural effusion by nurse peter
Pleural effusion by nurse peterPeter Shirima
 
Pleural effusion & nursing care
Pleural effusion & nursing carePleural effusion & nursing care
Pleural effusion & nursing careV4Veeru25
 
approachtopleuraleffusion-140205151929-phpapp01.pdf
approachtopleuraleffusion-140205151929-phpapp01.pdfapproachtopleuraleffusion-140205151929-phpapp01.pdf
approachtopleuraleffusion-140205151929-phpapp01.pdfNellyPhiri5
 
Pleural effusion - Etiopathogenesis, Clinical features, Advances in Management
Pleural effusion - Etiopathogenesis, Clinical features, Advances in ManagementPleural effusion - Etiopathogenesis, Clinical features, Advances in Management
Pleural effusion - Etiopathogenesis, Clinical features, Advances in ManagementChetan Ganteppanavar
 
Pleural effusion.pptx cme march
Pleural effusion.pptx cme marchPleural effusion.pptx cme march
Pleural effusion.pptx cme marchRISHIKESAN K V
 
Pleural effusion
Pleural effusionPleural effusion
Pleural effusionawasali
 
Pleural effusion dr.anush
Pleural effusion dr.anushPleural effusion dr.anush
Pleural effusion dr.anushNaderAnush1
 
Aetiopathogenesis and management of empyema thoracis
Aetiopathogenesis and management of empyema thoracisAetiopathogenesis and management of empyema thoracis
Aetiopathogenesis and management of empyema thoracisDR.NABAJYOTI HAZARIKA
 
KMC Pleural effusion.pptx gggggggggggggg
KMC Pleural effusion.pptx ggggggggggggggKMC Pleural effusion.pptx gggggggggggggg
KMC Pleural effusion.pptx ggggggggggggggShanuSoni7
 
hydrothorax presentation.pptx
hydrothorax presentation.pptxhydrothorax presentation.pptx
hydrothorax presentation.pptxAshraf Shaik
 
Pleural Effusion in Children-converted.pptx
Pleural Effusion in Children-converted.pptxPleural Effusion in Children-converted.pptx
Pleural Effusion in Children-converted.pptxLadderGroup
 

Similar to Pleural Effusions (20)

6.Pleural Effusions
6.Pleural Effusions6.Pleural Effusions
6.Pleural Effusions
 
Pleural disease
Pleural diseasePleural disease
Pleural disease
 
Pleuraleffusions
PleuraleffusionsPleuraleffusions
Pleuraleffusions
 
Pleural Effusion lecture
Pleural Effusion lecturePleural Effusion lecture
Pleural Effusion lecture
 
Pleural effusion by nurse peter
Pleural effusion by nurse peterPleural effusion by nurse peter
Pleural effusion by nurse peter
 
Pleural effusion & nursing care
Pleural effusion & nursing carePleural effusion & nursing care
Pleural effusion & nursing care
 
approachtopleuraleffusion-140205151929-phpapp01.pdf
approachtopleuraleffusion-140205151929-phpapp01.pdfapproachtopleuraleffusion-140205151929-phpapp01.pdf
approachtopleuraleffusion-140205151929-phpapp01.pdf
 
Surgery 5th year, 2nd lecture (Dr. Ahmed Al-Azzawi)
Surgery 5th year, 2nd lecture (Dr. Ahmed Al-Azzawi)Surgery 5th year, 2nd lecture (Dr. Ahmed Al-Azzawi)
Surgery 5th year, 2nd lecture (Dr. Ahmed Al-Azzawi)
 
Pleural effusion - Etiopathogenesis, Clinical features, Advances in Management
Pleural effusion - Etiopathogenesis, Clinical features, Advances in ManagementPleural effusion - Etiopathogenesis, Clinical features, Advances in Management
Pleural effusion - Etiopathogenesis, Clinical features, Advances in Management
 
Pleural effusion (dr. mahesh)
Pleural effusion (dr. mahesh)Pleural effusion (dr. mahesh)
Pleural effusion (dr. mahesh)
 
Pleural Effusion
Pleural EffusionPleural Effusion
Pleural Effusion
 
Pleural effusion.pptx cme march
Pleural effusion.pptx cme marchPleural effusion.pptx cme march
Pleural effusion.pptx cme march
 
Pleural effusion
Pleural effusionPleural effusion
Pleural effusion
 
Pleural effusion dr.anush
Pleural effusion dr.anushPleural effusion dr.anush
Pleural effusion dr.anush
 
Aetiopathogenesis and management of empyema thoracis
Aetiopathogenesis and management of empyema thoracisAetiopathogenesis and management of empyema thoracis
Aetiopathogenesis and management of empyema thoracis
 
KMC Pleural effusion.pptx gggggggggggggg
KMC Pleural effusion.pptx ggggggggggggggKMC Pleural effusion.pptx gggggggggggggg
KMC Pleural effusion.pptx gggggggggggggg
 
hydrothorax presentation.pptx
hydrothorax presentation.pptxhydrothorax presentation.pptx
hydrothorax presentation.pptx
 
Pleural effusion
Pleural effusionPleural effusion
Pleural effusion
 
Pleural Effusion in Children-converted.pptx
Pleural Effusion in Children-converted.pptxPleural Effusion in Children-converted.pptx
Pleural Effusion in Children-converted.pptx
 
Pleural effusion
Pleural effusionPleural effusion
Pleural effusion
 

More from Sumit Prajapati

Pericardial abnormal findings
Pericardial abnormal findingsPericardial abnormal findings
Pericardial abnormal findingsSumit Prajapati
 
Diagnostic radiology of cardiovascular 2009
Diagnostic radiology of cardiovascular 2009Diagnostic radiology of cardiovascular 2009
Diagnostic radiology of cardiovascular 2009Sumit Prajapati
 
20100603 acute glomerulonephritis
20100603 acute glomerulonephritis20100603 acute glomerulonephritis
20100603 acute glomerulonephritisSumit Prajapati
 
1 introduction of epidmiology
1 introduction of epidmiology1 introduction of epidmiology
1 introduction of epidmiologySumit Prajapati
 
Anesthesia outside the operating room
Anesthesia outside the operating roomAnesthesia outside the operating room
Anesthesia outside the operating roomSumit Prajapati
 
Neonatal cold injury syndrome
Neonatal cold injury syndromeNeonatal cold injury syndrome
Neonatal cold injury syndromeSumit Prajapati
 
C:\Documents And Settings\Administrator\桌面\13 Uri
C:\Documents And Settings\Administrator\桌面\13 UriC:\Documents And Settings\Administrator\桌面\13 Uri
C:\Documents And Settings\Administrator\桌面\13 UriSumit Prajapati
 
C:\documents and settings\administrator\桌面\11 fluid therapy
C:\documents and settings\administrator\桌面\11 fluid therapyC:\documents and settings\administrator\桌面\11 fluid therapy
C:\documents and settings\administrator\桌面\11 fluid therapySumit Prajapati
 
Administration of general anesthesia
Administration of general anesthesiaAdministration of general anesthesia
Administration of general anesthesiaSumit Prajapati
 
1 evaluating the patient before the anesthesia(2009.2.23 27)
1 evaluating the patient before the anesthesia(2009.2.23 27)1 evaluating the patient before the anesthesia(2009.2.23 27)
1 evaluating the patient before the anesthesia(2009.2.23 27)Sumit Prajapati
 
9 tuberculosis tanweiping
9 tuberculosis tanweiping9 tuberculosis tanweiping
9 tuberculosis tanweipingSumit Prajapati
 

More from Sumit Prajapati (20)

Pericardial abnormal findings
Pericardial abnormal findingsPericardial abnormal findings
Pericardial abnormal findings
 
Diagnostic radiology of cardiovascular 2009
Diagnostic radiology of cardiovascular 2009Diagnostic radiology of cardiovascular 2009
Diagnostic radiology of cardiovascular 2009
 
20100603 acute glomerulonephritis
20100603 acute glomerulonephritis20100603 acute glomerulonephritis
20100603 acute glomerulonephritis
 
05 diagnostic tests cwq
05 diagnostic tests cwq05 diagnostic tests cwq
05 diagnostic tests cwq
 
3 cross sectional study
3 cross sectional study3 cross sectional study
3 cross sectional study
 
3 cross sectional study
3 cross sectional study3 cross sectional study
3 cross sectional study
 
2.epidemilogic measures
2.epidemilogic measures2.epidemilogic measures
2.epidemilogic measures
 
1 introduction of epidmiology
1 introduction of epidmiology1 introduction of epidmiology
1 introduction of epidmiology
 
Anesthesia outside the operating room
Anesthesia outside the operating roomAnesthesia outside the operating room
Anesthesia outside the operating room
 
Neonatal septicemia
Neonatal septicemiaNeonatal septicemia
Neonatal septicemia
 
Neonatal cold injury syndrome
Neonatal cold injury syndromeNeonatal cold injury syndrome
Neonatal cold injury syndrome
 
C:\Documents And Settings\Administrator\桌面\13 Uri
C:\Documents And Settings\Administrator\桌面\13 UriC:\Documents And Settings\Administrator\桌面\13 Uri
C:\Documents And Settings\Administrator\桌面\13 Uri
 
C:\documents and settings\administrator\桌面\11 fluid therapy
C:\documents and settings\administrator\桌面\11 fluid therapyC:\documents and settings\administrator\桌面\11 fluid therapy
C:\documents and settings\administrator\桌面\11 fluid therapy
 
08 pain lishangrong 2
08 pain lishangrong 208 pain lishangrong 2
08 pain lishangrong 2
 
Administration of general anesthesia
Administration of general anesthesiaAdministration of general anesthesia
Administration of general anesthesia
 
5 regional anesthesia
5 regional anesthesia5 regional anesthesia
5 regional anesthesia
 
3 general anethesia
3 general anethesia3 general anethesia
3 general anethesia
 
2 safety in anesthesia
2 safety in anesthesia2 safety in anesthesia
2 safety in anesthesia
 
1 evaluating the patient before the anesthesia(2009.2.23 27)
1 evaluating the patient before the anesthesia(2009.2.23 27)1 evaluating the patient before the anesthesia(2009.2.23 27)
1 evaluating the patient before the anesthesia(2009.2.23 27)
 
9 tuberculosis tanweiping
9 tuberculosis tanweiping9 tuberculosis tanweiping
9 tuberculosis tanweiping
 

Recently uploaded

Low Rate Call Girls Kochi Anika 8250192130 Independent Escort Service Kochi
Low Rate Call Girls Kochi Anika 8250192130 Independent Escort Service KochiLow Rate Call Girls Kochi Anika 8250192130 Independent Escort Service Kochi
Low Rate Call Girls Kochi Anika 8250192130 Independent Escort Service KochiSuhani Kapoor
 
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...Taniya Sharma
 
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.MiadAlsulami
 
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...narwatsonia7
 
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...astropune
 
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore EscortsCall Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escortsvidya singh
 
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual NeedsBangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual NeedsGfnyt
 
Call Girls Colaba Mumbai ❤️ 9920874524 👈 Cash on Delivery
Call Girls Colaba Mumbai ❤️ 9920874524 👈 Cash on DeliveryCall Girls Colaba Mumbai ❤️ 9920874524 👈 Cash on Delivery
Call Girls Colaba Mumbai ❤️ 9920874524 👈 Cash on Deliverynehamumbai
 
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...chandars293
 
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...Taniya Sharma
 
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls JaipurCall Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipurparulsinha
 
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Siliguri Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore EscortsVIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escortsaditipandeya
 
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...Dipal Arora
 
High Profile Call Girls Coimbatore Saanvi☎️ 8250192130 Independent Escort Se...
High Profile Call Girls Coimbatore Saanvi☎️ 8250192130 Independent Escort Se...High Profile Call Girls Coimbatore Saanvi☎️ 8250192130 Independent Escort Se...
High Profile Call Girls Coimbatore Saanvi☎️ 8250192130 Independent Escort Se...narwatsonia7
 
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort ServicePremium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Servicevidya singh
 
Lucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel roomLucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel roomdiscovermytutordmt
 
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 

Recently uploaded (20)

Low Rate Call Girls Kochi Anika 8250192130 Independent Escort Service Kochi
Low Rate Call Girls Kochi Anika 8250192130 Independent Escort Service KochiLow Rate Call Girls Kochi Anika 8250192130 Independent Escort Service Kochi
Low Rate Call Girls Kochi Anika 8250192130 Independent Escort Service Kochi
 
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
 
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
 
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...
 
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
 
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore EscortsCall Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
 
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual NeedsBangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
 
Call Girls Colaba Mumbai ❤️ 9920874524 👈 Cash on Delivery
Call Girls Colaba Mumbai ❤️ 9920874524 👈 Cash on DeliveryCall Girls Colaba Mumbai ❤️ 9920874524 👈 Cash on Delivery
Call Girls Colaba Mumbai ❤️ 9920874524 👈 Cash on Delivery
 
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
 
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
 
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
 
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls JaipurCall Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
 
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Siliguri Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service Available
 
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore EscortsVIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
 
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
 
High Profile Call Girls Coimbatore Saanvi☎️ 8250192130 Independent Escort Se...
High Profile Call Girls Coimbatore Saanvi☎️ 8250192130 Independent Escort Se...High Profile Call Girls Coimbatore Saanvi☎️ 8250192130 Independent Escort Se...
High Profile Call Girls Coimbatore Saanvi☎️ 8250192130 Independent Escort Se...
 
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort ServicePremium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
 
Lucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel roomLucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel room
 
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
 

Pleural Effusions

  • 1. Pleural Effusions Can-mao Xie Dept. of Pulmonary & Critical Care Medicine 1 st Affiliated Hospital of Sun-Yat Sen University Dr. Canmao xie
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7. Figure 1. Anatomy of the pleural space SC: Systemic capillaries PC: Pulmonary capillaries Dr. Canmao xie stomas stomas electronic microscopy
  • 8. Figure 2. pleural fluids turnover PF enter the pleural space through parietal & visceral pleurae, And leave pleural space through lymphatics in parietal pleura Dr. Canmao xie
  • 9.
  • 10. Figure. Diagrammatic representation of the pressures involved in the formation and absorption of pleural fluid. Parietal Pleura Visceral Pleura Space Pleura Hydrostatic Pressure + 30 - 5 + 24 35 29 6 0 Net 29 29 + 34 + 5 +34 Oncotic Pressure Dr. Canmao xie
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18. A posteroanterior and lateral chest radiograph of pleural effusion blunting of the posterior costophrenic angle Dr. Canmao xie
  • 19.
  • 20.
  • 21. Light RW. Clin Chest Med, 2006,27:309-319 Etiology of pleural effusions
  • 22.
  • 23.
  • 24.
  • 26.
  • 27.
  • 28.
  • 29.
  • 30.
  • 31.
  • 33. 肺腺癌 患者男性， 65 岁。 因“反复胸痛 5 月，呼吸困难 1 月，加重 1 周” 入院。胸水 CEA 增高。 镜下见：脏、壁层胸膜间粘连带形成，壁层胸膜、膈面见弥漫性结节样新生物，部分表面覆盖白色坏死组织，右上叶后段斜裂缘见白色息肉样肿物，右下叶表面多发灰色斑状浸润。病理示腺癌。
  • 34.
  • 35.
  • 36.
  • 38.
  • 39.
  • 40.
  • 41.
  • 42. Thank you for attention! Dr. Canmao xie