Bronchi

Bronchopleural Fistula

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Bronchopleural Fistula

  • Pathophysiology
  1. Communication between Bronchus and pleural cavity
  • Causes
  1. Empyema draining through Bronchus
  2. Lung Abscess invading pleural cavity
  • Symptoms
  1. Chronic productive cough
  2. Large volume Purulent Sputum
  • Signs
  1. Absent breath sounds on affected side
  2. Tympanic changes on affected side
    1. Dullness to percussion at lung base (Hydrothorax)
    2. Hyperresonant above dull area (Pneumothorax)
  3. Coin Test
  4. Succussion Splash
  • Diagnosis
  1. Methylene blue injected into pleural cavity
    1. Appears in Sputum
  1. Hydropneumothorax