|
Author
|
Message
|
decembermist
Credits:
41191
My Scrapbook
|
radiology - chest
|
10.01.04 (4 years ago)
#1
|
|
commonest cause of chylothorax
a) trauma
b) filariasis
c) neoplasm
d) idiopathic
|
|
|
Post Options:
Add to favourite
.
Tell a friend
.
|
|
Back to top
|
|
|
SATVIK
Credits:
958
My Scrapbook
|
|
|
10.02.04 (4 years ago)
#2
|
|
Accumulation of chyle with in the pleural space(chylothorax) is most often due to surgical procedures, particularly cardiothoracic and esophageal operations.other causes include trauma,malignancy,central venous catheterisation, congenital lymphatic malformations, thoracic aortic aneurysms, filariasis and cirrhosis.
the answer here should be trauma
ref - CSDT - 2003 , pg no - 367
|
|
|
Post Options:
Add to favourite
.
Tell a friend
.
|
|
Back to top
|
|
kannan
Credits:
6918
My Scrapbook
|
|
|
10.03.04 (4 years ago)
#3
|
|
Yes u r right ,the commonest cause of chylothorax is trauma[confirmed from Harrison.]followed by malignancy
treatment of choice -pleuroperitoneal shunt
|
|
|
Post Options:
Add to favourite
.
Tell a friend
.
|
|
Back to top
|
|
drpsg
Credits:
6208
My Scrapbook
|
|
|
10.03.04 (4 years ago)
#4
|
|
AGREE WITH KANAN
IT IS TRAUMA
|
|
|
Post Options:
Add to favourite
.
Tell a friend
.
|
|
Back to top
|
|
decembermist
Credits:
41191
My Scrapbook
|
|
|
10.04.04 (4 years ago)
#5
|
|
ans given is neoplasm....if Harrison says its trauma...i'll go for it.
anybody got Sutton..the ref of ans is given as
sutton pg no:514
|
|
|
Post Options:
Add to favourite
.
Tell a friend
.
|
|
Back to top
|
|
sumer sethi
Credits:
79100
My Scrapbook
My Reading List
262569 Books
|
|
|
10.08.04 (4 years ago)
#6
|
|
answer is trauma...
reference harrisons..
Chylothorax A chylothorax occurs when the thoracic duct is disrupted and chyle accumulates in the pleural space. The most common cause of chylothorax is trauma, but it also may result from tumors in the mediastinum. Patients with chylothorax present with dyspnea, and a large pleural effusion is present on the chest radiograph. Thoracentesis reveals milky fluid, and biochemical analysis reveals a triglyceride level that exceeds 110 mg/dL. Patients with chylothorax and no obvious trauma should have a lymphangiogram and a mediastinal computed tomographic (CT) scan to assess the mediastinum for lymph nodes. The treatment of choice for most chylothoraces is implantation of a pleuroperitoneal shunt. Patients with chylothoraces should not undergo prolonged tube thoracostomy with chest tube drainage because this will lead to malnutrition and immunologic incompetence.
author review of radiology
check out
|
|
|
Post Options:
Add to favourite
.
Tell a friend
.
|
|
Back to top
|
|
SATVIK
Credits:
958
My Scrapbook
|
|
|
10.09.04 (4 years ago)
#7
|
|
|
Even pg no 514 in Suttons says chylothorax is seen after cardiac surgery.(so trauma should be the answer)
|
|
|
Post Options:
Add to favourite
.
Tell a friend
.
|
|
Back to top
|
|
sumer sethi
Credits:
79100
My Scrapbook
My Reading List
262569 Books
|
|
|
11.23.04 (3 years ago)
#8
|
|
so we all agree with trauma question closed!!!
Radiologist
author- review of radiology and AIIMS
may2004 and nov2004
|
|
|
Post Options:
Add to favourite
.
Tell a friend
.
|
|
Back to top
|
|
|
Topic Tags: 
