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Transudative pleural effusion causes

CHF



PE



PERITONEAL DIALYSIS



CIRRHOSIS



HYPOALBUMINEMIA



Nephrotic syndrome



Atelectasis

Emphysema definition

permanent enlargement of air spaces distal to terminal bronchioles due to destruction of alveolar walls.

Wheeze dd

asthma


copd


chf


lung ca


cardiomyopathies

Caauses of bronchiectais

1. Recurrent infections (airway obstruction, immunodeficiency, allergic bronchopul-monary aspergillosis, mycobacterium)


2. Cystic fibrosis (CF) is most common cause of bronchiectasis (accounts for half of all cases)


3. Primary ciliary dyskinesia (e.g., Kartagener syndrome)


4. Autoimmune disease (rheumatoid arthritis, systemic lupus erythematosus, Crohn disease, etc.)


5. Humoral immunodeficiency (abnormal lung defense), airway obstruction

bronchiectasis clinical features

1.Chronic cough with large amounts of mucopurulent, foul-smelling sputum


2. dyspnea


3.hemoptysis


4. Recurrent or persistent pneumonia

Paraneoplastic syndrome associated with lung cancer

1.SIADH


2.ectopic ACTH


3.PTH like hormone secretion


4.hypertrophic pulmonary ostearthropathy


5.eaton lambert syndrom


6.digital clubbing

Lights criteria for exudative pleural effusion

•Protein(pleural)/protein(serum)>0.5


•LDH(pleural)/LDH(serum)>0.6


•LDH> two-thirds the upper limit of normal serum LDH


Causes of exudative pleural effusion

Bacterialpneumonia,TB •Malignancy,metastaticdisease •Viralinfection•PE •Collagenvasculardiseases

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