ABC of Pleural Diseases.

Intro -- Title Page -- Copyright Page -- Contents -- Contributors -- Chapter 1 Anatomy and Physiology of the Pleura -- Embryology -- Macroscopic anatomy -- Microscopic anatomy -- Mesothelial cells -- Innervation, blood supply and lymphatics -- Innervation -- Blood supply -- Lymphatics -- Physiology of the pleural space -- Pleural pressure -- Pleural fluid formation and constituents -- Pleural fluid absorption -- Role of the pleural space -- Further reading -- Chapter 2 Radiology of Pleural Disease -- Plain radiography -- Ultrasound -- CT scan -- PET CT -- MRI -- Further reading -- Chapter 3 Pneumothorax -- Definition, epidemiology, risk factors and aetiology -- Presentation -- Investigations -- Management -- Tension (i.e. haemodynamically unstable) pneumothoraces -- Haemodynamically stable -- Conservative management -- Needle aspiration -- Chest drains -- Heimlich valves -- Digital thoracic drainage -- Referral of patients -- Recurrent pneumothorax -- Further reading -- Chapter 4 Investigation of Pleural Effusions -- Clinical presentation -- History taking -- Examination -- Initial imaging -- Chest X-ray -- Thoracic ultrasound -- Pleural fluid tests -- Fluid appearance -- Distinguishing exudates and transudates -- Pleural fluid cytology and differential cell counts -- Microscopy and culture -- Pleural fluid pH (and glucose) -- Lipids -- Biomarkers and auto-antibodies -- Cross-sectional imaging -- Metabolic and dynamic imaging -- Pleural biopsy -- Diagnostic challenges -- Further reading -- Chapter 5 Pleural Pathology -- Normal anatomy and histology of the pleura -- Pathological processes involving the pleura -- Neoplasia (other than diffuse malignant mesothelioma) - primary pleural neoplasms and tumour-like proliferations -- Benign -- Tumour-like conditions -- Malignant pleural neoplasms (other than malignant mesothelioma) -- Inflammation.

Further reading -- Chapter 6 Unusual Causes of Pleural Disease -- Urinothorax -- Yellow nail syndrome -- Ovarian hyperstimulation syndrome -- Meigs syndrome -- Dural-pleural fistula -- Central venous catheter migration -- Chylothorax -- Pseudochylothorax -- Further reading -- Chapter 7 Pleural Infection -- Pathology -- Bacteriology -- Natural history -- Symptoms and signs -- Diagnosis -- Thoracic ultrasound scan -- Pleural fluid aspiration -- Further imaging -- Medical management -- Initial care -- Antibiotics -- Chest tube drainage -- Fibrinolytics -- Surgery -- VATS debridement and decortication -- Rib resection and drainage -- Thoracotomy decortication -- Open window thoracostomy -- Thoracoplasty -- Trapped lung -- Prognosis and long‐term outcomes -- Conclusions -- Further reading -- Chapter 8 Management of Malignant Pleural Effusions -- Pathophysiology -- Symptoms -- Management - general considerations -- Simple pleural aspiration -- Intercostal chest drainage and pleurodesis -- Thoracoscopy and talc poudrage -- Indwelling pleural catheters -- Which procedure is best? -- The future -- Conclusions -- Further reading -- Chapter 9 Malignant Mesothelioma -- Epidemiology and aetiology -- Pathogenesis -- Clinical presentation and investigation -- Pathological features -- Epithelioid malignant mesothelioma -- Sarcomatoid malignant mesothelioma -- Biphasic malignant mesothelioma -- Well-differentiated papillary mesothelioma -- Localised malignant mesothelioma -- Diagnosis -- Treatment and prognosis -- Further reading -- Chapter 10 Pleural Interventions: Section A: Pleural Aspiration -- Diagnostic thoracocentesis -- Step-by-step approach -- Avoidance of the intercostal arteries -- Therapeutic thoracocentesis -- Step-by-step approach -- Complications of diagnostic and therapeutic thoracocentesis -- Further reading -- Section B: Chest Drain Insertion.

Chest drain insertion (Seldinger technique) -- Pre-drain insertion -- Drain insertion technique -- Post drain insertion -- Drain removal -- Tips -- Troubleshooting -- Further reading -- Section C: Insertion of an Indwelling Pleural Catheter -- A step-by-step guide to IPC insertion -- Chapter 11 Medical Thoracoscopy: Section A: Rigid Thoracoscopy -- Role of medical thoracoscopy -- Who should undergo a thoracoscopy? -- Types of medical thoracoscopy -- A step-by-step guide to medical thoracoscopy -- Patient preparation and consent -- Procedure -- Other considerations -- Post procedure care -- Diagnostic accuracy of medical thoracoscopy -- Complications and adverse events with medical thoracoscopy -- Complications and adverse events: rigid thoracoscopy versus semi-rigid thoracoscopy -- Conclusions -- Further reading -- Section B: Semi-Rigid Thoracoscopy -- Role of medical thoracoscopy -- A step-by-step guide to semi-rigid thoracoscopy -- Advantages of the semi-rigid thoracoscope -- Disadvantages of the semi-rigid thoracoscope -- Diagnostic accuracy of semi-rigid thoracoscopy -- Diagnostic accuracy: rigid thoracoscopy versus semi-rigid thoracoscopy -- Complications and adverse events with semi-rigid thoracoscopy -- Conclusions -- Chapter 12 Surgical Management of Pleural Disease -- Historical developments -- Thoracic anaesthetic -- Thoracic surgery -- Primary and secondary pneumothoraces -- Malignant pleural effusions -- Empyema -- Pleural tumour -- Trauma -- Conclusions -- Further reading -- Index -- EULA.

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Electronic reproduction. Ann Arbor, Michigan : ProQuest Ebook Central, 2024. Available via World Wide Web. Access may be limited to ProQuest Ebook Central affiliated libraries.