{"presentation":{"slides":[{"elements":[{"x":4.357298474945534,"y":19.43844492440605,"width":90.41394335511983,"height":60.47516198704104,"action":{"library":"H5P.Table 1.1","params":{"text":"\n\t\n\t\t\n\t\t\t\n\t\t\t

FINDINGS (1)<\/strong><\/td>\n\t\t\t

\n\t\t\t

USE<\/strong><\/div>\n\n\t\t\t
(1)<\/strong><\/div>\n\t\t\t<\/td>\n\t\t\t

\n\t\t\t

ADVANTAGE<\/strong><\/div>\n\n\t\t\t
(2)<\/strong><\/div>\n\t\t\t<\/td>\n\t\t\t

DISADVANTAGE (2)<\/strong><\/td>\n\t\t\t

\n\t\t\t

SENSITIVITY<\/strong><\/div>\n\n\t\t\t
(2)<\/strong><\/div>\n\t\t\t<\/td>\n\t\t\t

\n\t\t\t

SENSITIVITY<\/strong><\/div>\n\n\t\t\t
(2)<\/strong><\/div>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t

\n\t\t\t\n\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t<\/colgroup>\n\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\n\t\t\t\n\t\t\t\n\t\t\t\n\t\t\t\n\t\t\t\n\t\t\t

\n\t\t\t\t\t\t

Costo-phrenic angle blunting,
\n\t\t\t\t\t\tHomogenous opacity in lung field<\/div>\n\n\t\t\t\t\t\t

(consolidations with visible air<\/div>\n\n\t\t\t\t\t\t

bronchograms\/aerated lung areas) <\/span><\/span><\/span><\/span><\/span><\/span><\/div>\n\t\t\t\t\t\t<\/td>\n\t\t\t\t\t<\/tr>\n\t\t\t\t<\/tbody>\n\t\t\t<\/table>\n\t\t\t<\/td>\n\t\t\t

ALL patients<\/td>\n\t\t\t

\n\t\t\t

1. Detected on PA view when >200ml fluid<\/div>\n\n\t\t\t

\n\t\t\t2.Parenchymal \/nodal involvement can be seen;
\n\t\t\tProgress can bemonitored(1)<\/div>\n\t\t\t<\/td>\n\t\t\t

\n\t\t\t

1. Small amount of fluid maybe missed<\/div>\n\n\t\t\t

\n\t\t\t2. Radiation exposure<\/div>\n\t\t\t<\/td>\n\t\t\t

UPRIGHT PA<\/td>\n\t\t<\/tr>\n\t\t

82%<\/td>\n\t\t\t

81%<\/td>\n\t\t<\/tr>\n\t\t

LATERAL DECUBITUS<\/td>\n\t\t<\/tr>\n\t\t

94%<\/td>\n\t\t\t

100%<\/td>\n\t\t<\/tr>\n\t\t

SUPINE AP<\/td>\n\t\t<\/tr>\n\t\t

33-92%<\/td>\n\t\t\t

70-89%<\/td>\n\t\t<\/tr>\n\t\t

UPRIGHT LATERAL<\/td>\n\t\t<\/tr>\n\t\t

86%<\/td>\n\t\t\t

88%<\/td>\n\t\t<\/tr>\n\t<\/tbody>\n<\/table>\n\n

<\/div>\n"},"subContentId":"6f7a3911-ca0a-45b8-8ed2-d2c402948e53","metadata":{"contentType":"Table","license":"U","title":"Untitled Table"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":19.607843137254903,"y":84.23326133909288,"width":63.18082788671024,"height":12.958963282937365,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"

(1) Index TB Guidelines, 2016<\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span>
\n(2) Nilam J Soni et al. Ultrasound in the Diagnosis and Management of Pleural Effusions. J of Hospital Medicine. 2015<\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/p>\n"},"subContentId":"a0668311-6427-41d6-8e7a-27ac67f38387","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":4.357298474945534,"y":8.639308855291576,"width":43.57298474945534,"height":8.639308855291576,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"

Imaging modalities: Chest Radiography<\/strong><\/span><\/p>\n"},"subContentId":"0b9b673a-d659-499c-a3a6-e7ffc49105e7","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""}],"slideBackgroundSelector":{}},{"elements":[{"x":1.0893246187363834,"y":19.43844492440605,"width":97.82135076252723,"height":60.47516198704104,"action":{"library":"H5P.Table 1.1","params":{"text":"

\n\t\n\t\t\n\t\t\t\n\t\t\t

FINDINGS (1)<\/strong><\/td>\n\t\t\t

\n\t\t\t

USE<\/strong><\/div>\n\n\t\t\t
(1)<\/strong><\/div>\n\t\t\t<\/td>\n\t\t\t

\n\t\t\t

ADVANTAGE<\/strong><\/div>\n\n\t\t\t
(2)<\/strong><\/div>\n\t\t\t<\/td>\n\t\t\t

DISADVANTAGE (2)<\/strong><\/td>\n\t\t\t

\n\t\t\t

SENSITIVITY<\/strong><\/div>\n\n\t\t\t
(2)<\/strong><\/div>\n\t\t\t<\/td>\n\t\t\t

\n\t\t\t

SENSITIVITY<\/strong><\/div>\n\n\t\t\t
(2)<\/strong><\/div>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t

\n\t\t\t\n\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t<\/colgroup>\n\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t

\n\t\t\t\t\t\t

Anechoic region (black)<\/div>\n\n\t\t\t\t\t\t

below pleural line (white)<\/div>\n\t\t\t\t\t\t<\/td>\n\t\t\t\t\t<\/tr>\n\t\t\t\t<\/tbody>\n\t\t\t<\/table>\n\t\t\t<\/td>\n\t\t\t

\n\t\t\t

1 Where indicated\/available can be used for pleurocentesis. <\/div>\n\n\t\t\t

\n\t\t\t2. To distinguish pleural thickening from effusion<\/div>\n\t\t\t<\/td>\n\t\t\t

\n\t\t\t

1. Bedside investigation,<\/div>\n\n\t\t\t

guided procedures<\/div>\n\n\t\t\t

\n\t\t\t2. Detect even ~50 ml<\/div>\n\n\t\t\t

pleural fluid<\/div>\n\n\t\t\t

\n\t\t\t3. Septations<\/div>\n\n\t\t\t

visualised<\/div>\n\n\t\t\t

\n\t\t\t4. No radiation<\/div>\n\t\t\t<\/td>\n\t\t\t

Lung\/nodal involvement cannot be ruled out<\/td>\n\t\t<\/tr>\n\t\t

92-94%<\/td>\n\t\t\t

93-100%<\/td>\n\t\t<\/tr>\n\t<\/tbody>\n<\/table>\n\n

<\/div>\n"},"subContentId":"081f5b4a-2052-4367-bd2d-c1df0397036b","metadata":{"contentType":"Table","license":"U","title":"Untitled Table"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":19.607843137254903,"y":84.23326133909288,"width":63.18082788671024,"height":12.958963282937365,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"

(1) Index TB Guidelines, 2016<\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span>
\n(2) Nilam J Soni et al. Ultrasound in the Diagnosis and Management of Pleural Effusions. J of Hospital Medicine. 2015<\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/p>\n"},"subContentId":"d5a0dae0-ded7-463c-86d8-f46f6f5aa027","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":4.357298474945534,"y":8.657300215982723,"width":33.769063180827885,"height":8.639308855291576,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"

Imaging modalities: Ultrasound <\/strong><\/span><\/p>\n"},"subContentId":"ed8ada0c-1f31-436c-a1fc-5542889d0225","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""}],"slideBackgroundSelector":{}},{"elements":[{"x":4.357298474945534,"y":8.657300215982723,"width":33.769063180827885,"height":8.639308855291576,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"

Imaging modalities: Ultrasound <\/strong><\/span><\/p>\n"},"subContentId":"1993a69c-152c-4682-9dd0-b1e041e6f3d3","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":55.55555555555556,"y":23.758099352051836,"width":37.36383442265795,"height":66.95464362850971,"action":{"library":"H5P.Image 1.1","params":{"decorative":false,"contentName":"Image","file":{"path":"images\/file-6491eff4c5c95.png","mime":"image\/png","copyright":{"license":"U"},"width":631,"height":573}},"subContentId":"1ed7e696-7ffd-4df9-b205-7cc8a4f58bbe","metadata":{"contentType":"Image","license":"U","title":"Untitled Image"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":5.446623093681917,"y":23.758099352051836,"width":45.751633986928105,"height":36.717062634989205,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"

Indications for ultrasound guided pleurocentesis:<\/strong><\/p>\n\n

\n\t
\n\t
Minimal pleural effusion<\/p>\n\t<\/li>\n\t
\n\t
Atypical presentation s\/o alternate etiology<\/p>\n\t<\/li>\n\t
\n\t
Suspected loculations\/ adhesion<\/p>\n\t<\/li>\n<\/ul>\n"},"subContentId":"5feed97c-7efb-44ac-9dea-45bc8dfe3690","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""}],"slideBackgroundSelector":{}},{"elements":[{"x":1.0893246187363834,"y":17.278617710583152,"width":98.03921568627452,"height":75.5939524838013,"action":{"library":"H5P.Table 1.1","params":{"text":"
\n\t\n\t\t\n\t\t\t\n\t\t\t
FINDINGS (1)<\/strong><\/td>\n\t\t\t \n\t\t\t
USE<\/strong><\/div>\n\n\t\t\t
(1)<\/strong><\/div>\n\t\t\t<\/td>\n\t\t\t
\n\t\t\t
ADVANTAGE<\/strong><\/div>\n\n\t\t\t
(2)<\/strong><\/div>\n\t\t\t<\/td>\n\t\t\t
DISADVANTAGE (2)<\/strong><\/td>\n\t\t\t \n\t\t\t
SENSITIVITY<\/strong><\/div>\n\n\t\t\t
(2)<\/strong><\/div>\n\t\t\t<\/td>\n\t\t\t
\n\t\t\t
SENSITIVITY<\/strong><\/div>\n\n\t\t\t
(2)<\/strong><\/div>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t
\n\t\t\t\n\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t<\/colgroup>\n\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t
\n\t\t\t\t\t\t
Effusion with pleural<\/div>\n\n\t\t\t\t\t\t
thickening, enhancement<\/div>\n\t\t\t\t\t\t<\/td>\n\t\t\t\t\t<\/tr>\n\t\t\t\t<\/tbody>\n\t\t\t<\/table>\n\t\t\t<\/td>\n\t\t\t
\n\t\t\t
SELECTED patients \u2013<\/div>\n\n\t\t\t
Uncertain<\/div>\n\n\t\t\t
diagnosis\/atypical<\/div>\n\n\t\t\t
clinical profile,<\/div>\n\n\t\t\t
suspected<\/div>\n\n\t\t\t
malignancy,<\/div>\n\n\t\t\t
lack of response\/<\/div>\n\n\t\t\t
symptom recurrence<\/div>\n\t\t\t<\/td>\n\t\t\t
\n\t\t\t
1. Reference standard<\/div>\n\n\t\t\t
in most studies
\n\t\t\t2. More sensitive than<\/div>\n\n\t\t\t
X-rayto check<\/div>\n\n\t\t\t
for primary<\/div>\n\n\t\t\t
lung involvement\/<\/div>\n\n\t\t\t
dissemination<\/div>\n\t\t\t<\/td>\n\t\t\t
1. Difficult to distinguish small effusion and pleural thickening
\n\t\t\t2. Low sensitivity for septations
\n\t\t\t3. High radiation exposure
\n\t\t\t4. High cost, availability<\/td>\n\t\t\t Reference Standard<\/td>\n\t\t\t Reference Standard<\/td>\n\t\t<\/tr>\n\t<\/tbody>\n<\/table>\n\n
<\/div>\n"},"subContentId":"92b67816-8890-45ca-be9e-d70f67ea980a","metadata":{"contentType":"Table","license":"U","title":"Untitled Table"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":21.78649237472767,"y":89.20086393088553,"width":62.091503267973856,"height":10.799136069114471,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
(1) Index TB Guidelines, 2016<\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span>
\n(2) Nilam J Soni et al. Ultrasound in the Diagnosis and Management of Pleural Effusions. J of Hospital Medicine. 2015<\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/p>\n"},"subContentId":"202bd779-54fe-4c3d-ba9d-296528096303","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":4.357298474945534,"y":8.657300215982723,"width":33.769063180827885,"height":8.639308855291576,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
Imaging modalities: CT <\/strong><\/span><\/p>\n"},"subContentId":"c8248ce2-637e-4ae6-a426-b576455c43bf","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""}],"slideBackgroundSelector":{}}],"keywordListEnabled":true,"globalBackgroundSelector":{},"keywordListAlwaysShow":false,"keywordListAutoHide":false,"keywordListOpacity":90},"override":{"activeSurface":false,"hideSummarySlide":false,"summarySlideSolutionButton":true,"summarySlideRetryButton":true,"enablePrintButton":false,"social":{"showFacebookShare":false,"facebookShare":{"url":"@currentpageurl","quote":"I scored @score out of @maxScore on a task at @currentpageurl."},"showTwitterShare":false,"twitterShare":{"statement":"I scored @score out of @maxScore on a task at @currentpageurl.","url":"@currentpageurl","hashtags":"h5p, course"},"showGoogleShare":false,"googleShareUrl":"@currentpageurl"}},"l10n":{"slide":"Slide","score":"Score","yourScore":"Your Score","maxScore":"Max Score","total":"Total","totalScore":"Total Score","showSolutions":"Show solutions","retry":"Retry","exportAnswers":"Export text","hideKeywords":"Hide sidebar navigation menu","showKeywords":"Show sidebar navigation menu","fullscreen":"Fullscreen","exitFullscreen":"Exit fullscreen","prevSlide":"Previous slide","nextSlide":"Next slide","currentSlide":"Current slide","lastSlide":"Last slide","solutionModeTitle":"Exit solution mode","solutionModeText":"Solution Mode","summaryMultipleTaskText":"Multiple tasks","scoreMessage":"You achieved:","shareFacebook":"Share on Facebook","shareTwitter":"Share on Twitter","shareGoogle":"Share on Google+","summary":"Summary","solutionsButtonTitle":"Show comments","printTitle":"Print","printIngress":"How would you like to print this presentation?","printAllSlides":"Print all slides","printCurrentSlide":"Print current slide","noTitle":"No title","accessibilitySlideNavigationExplanation":"Use left and right arrow to change slide in that direction whenever canvas is selected.","accessibilityCanvasLabel":"Presentation canvas. Use left and right arrow to move between slides.","accessibilityProgressBarLabel":"Choose slide to display","containsNotCompleted":"@slideName contains not completed interaction","containsCompleted":"@slideName contains completed interaction","slideCount":"Slide @index of @total","containsOnlyCorrect":"@slideName only has correct answers","containsIncorrectAnswers":"@slideName has incorrect answers","shareResult":"Share Result","accessibilityTotalScore":"You got @score of @maxScore points in total","accessibilityEnteredFullscreen":"Entered fullscreen","accessibilityExitedFullscreen":"Exited fullscreen","confirmDialogHeader":"Submit your answers","confirmDialogText":"This will submit your results, do you want to continue?","confirmDialogConfirmText":"Submit and see results","slideshowNavigationLabel":"Slideshow navigation"}}

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Radiology for Pleural TB

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Radiology for Pleural TB

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