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empyema image - Coggle Diagram
empyema 
pathophysiology
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in case of thoracic surgical procedure, the vacated space fills up with serosanguineous fluid also introducing infection to the pleural space
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treatment and management
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in complex empyema, drainage tube must be inserted to drain pus. it must be done under anesthesia
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open decortication: in this surgery, your surgeon will peel away the pleural peel
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references
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Reichert M, Hecker M, Witte B, Bodner J, Padberg W, Weigand MA, Hecker A. Stage-directed therapy of pleural empyema. Langenbecks Arch Surg. 2017 Feb;402(1):15-26. [PubMed]
Pinnola A, Kuo YH, Sciarretta JD, McIntyre A, Messier R, Davis JM. Bacteriology and Comorbidities in Patients Requiring Surgical Management of Empyema. Am Surg. 2018 Apr 01;84(4):599-603. [PubMed]