ABC of Pleural Diseases 1st Edition by Najib Rahman, Ian Hunt, Fergus Gleeson, Nick Maskell ISBN 9781118527108 1118527100

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ISBN 10: 1118527100
ISBN 13: 9781118527108
Author: Najib Rahman, Ian Hunt, Fergus Gleeson, Nick Maskell

Pleural diseases are frequently managed in primary care, but specialist knowledge is required to understand the full variety of presentations and available treatments in this rapidly developing field. ABC of Pleural Diseases is a brand new addition to the ABC Series which takes a unique approach to these conditions by dealing with them as a related group as well as in their individual manifestations.

The book provides a unique and comprehensive overview of pleural disease, beginning with the anatomy and physiology of the pleura. It then covers a wide range of specific conditions in greater detail, including pneumothorax, pleural effusions, pleural infections, as well as chapters on radiology and pathology. Full coverage is given of mesothelioma, the most common pleural cancer.

Written by a team of specialists, this reference guide to pleural diseases is a practical guide for General Practitioners, Junior Doctors, Specialist Nurses, Radiologists and all Healthcare Professionals working within chest medicine.

ABC of Pleural Diseases 1st Edition Table of contents:

CHAPTER 1: Anatomy and Physiology of the Pleura

Embryology

Macroscopic anatomy

Microscopic anatomy

Innervation, blood supply and lymphatics

Physiology of the pleural space

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

Recurrent pneumothorax

Further reading

CHAPTER 4: Investigation of Pleural Effusions

Clinical presentation

History taking

Examination

Initial imaging

Pleural fluid tests

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

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

Medical management

Surgery

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

Diagnosis

Treatment and prognosis

Further reading

CHAPTER 10: Pleural Interventions

Diagnostic thoracocentesis

Therapeutic thoracocentesis

Complications of diagnostic and therapeutic thoracocentesis

Further reading

Section B: Pleural Interventions

Chest drain insertion (Seldinger technique)

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

Role of medical thoracoscopy

Who should undergo a thoracoscopy?

Types of medical thoracoscopy

A step‐by‐step guide to medical thoracoscopy

Diagnostic accuracy of medical thoracoscopy

Complications and adverse events with medical thoracoscopy

Conclusions

Further reading

Section B: Medical 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

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