Pleurisy

Pleurisy

    * Introduction
    * Etiology
    * Clinical
    * Diagnosis
    * Treatment
Pleurisy is the excessive accumulation of fluid in the space between the lung and the chest wall (pleural fluid is usually in very small amounts), due to an inflammatory process of pleural foil.

The pleura consists of two foils joined by a fluid space. Visceral leaf wraps around the surface of the lungs and lining the inside of the parietal chest and breathing is synchronized with the movements of the rib muscle. Maintain low pressure in the pleural space pleural foils stuck together and help each other farther away from the lungs during inspiration.
Pleural fluid accumulates when his training exceeds its absorption. Pleural effusion is the type transsudat when systemic factors that influence the formation and absorption of pleural fluid undergoes certain alterations, exudate type and when local factors are involved.

Pleurisy can be free in the pleural cavity of one of the great lungs, leading sometimes to the mediastinum and displacement of acute respiratory failure, or confined, occupying only a portion of the pleural cavity, with different locations.
Clinic patient presents with an enlarging chest wall bulge intercostal spaces, reducing the amplitude of respiratory movements may be accompanied by chest pain in the affected portion, and a characteristic set of signs in clinical examination.

 
Complete with X-ray diagnosis of pulmonary, pleural fluid analysis taken by puncture or, if necessary, with pleural biopsy.

 
Pleurisy untreated can lead to a series of complications, of which the most important are respiratory failure, fistulization in bronsii (cross bronsii in pleural fluid in purulent pleurisy) or leads to fibrotorax pahipleurita (fibrosis of the pleural cavity).

 
Treatment is based on the product due to pleurisy and includes eliminating the cause when possible, remove excess liquid drug therapy or surgical treatment and complications.