Special Surgery · MU Plovdiv

21. Lung hudative disease

Inside: 10 sections · 1 table · 13 flashcards · 4 min

Topic 21 of 74 in the MU Plovdiv syllabus for Special Surgery (Medicine, Year 4). The free AceMed note covers it in 10 sections, about 298 words (4 min of reading), with 13 flashcards.

In this note

  1. Which imagine method is accepted as the most reliable in the diagnosis of pulmonary hydatid disease?
  2. Which are the typical signs of intact pulmonary hydatid cyst on plain chest radiographs?
  3. What is the objective of surgical treatment of pulmonary hydatidosis?
  4. The hydatid cyst grow more rapidly in the lungs than in other organs. Why?
  5. What is the usual clinical manifestation of rupture of hydatid cyst into an adjacent bronchus?
  6. What is treatment of pulmonary hydatid cyst?
  7. Which lung hydatid cyst is defined as complicated?
  8. The diagnosis of hydatid cyst of the lung necessitates investigation for other possible locations of the disease. Which method is accepted as a “gold standard” for evaluation of hepatic hydatid cyst?
  9. What is the usual clinical manifestation of rupture of hydatid cyst into the pleural cavity?
  10. Complications of lung hydatid disease?

Which imagine method is accepted as the most reliable in the diagnosis of pulmonary hydatid disease?

  • In clinical practise, plain radiographs of the chest is accepted as the most reliable in the diagnosis of pulmonary hydatid disease

Which are the typical signs of intact pulmonary hydatid cyst on plain chest radiographs?

  • The typical sings of intact pulmonary hydatid cyst on plain chest radiographs are:
  • Round or oval shapes
  • Solitary or multiple
  • Homogenous density
  • Perfectly defined margined as though drawn with a marking pen

What is the objective of surgical treatment of pulmonary hydatidosis?

  • The objective of surgical treatment of pulmonary hydatidosis is:
  • to eradicate the parasite
  • to prevent the intraoperative rupture of the cyst with its subsequent dissemination
  • to remove the residual cavity.

The hydatid cyst grow more rapidly in the lungs than in other organs. Why?

  • The hydatid cyst grows more rapidly in the lungs, than in the other organs
  • Mainly because of the negative pressure
  • The great elasticity of the pulmonary tissue.

What is the usual clinical manifestation of rupture of hydatid cyst into an adjacent bronchus?

  • Rupture of the cyst into an adjacent bronchus may be manifested by:
  • Vigorous coughing and expectoration of salty sputum consisting of mucous hydatid fluid.
  • Occasionally fragments of the laminated membrane generally described as “grape skin”.
  • Frothy blood.

In addition, the patient may develop a severe hypersensitivity reaction.

  • manifested by generalised rash, high fever, pulmonary congestion, and severe bronchospasm.

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