FAQ - empyema
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Anyone know what is empyema or bronchitis ?

What are the symptoms and is empyema like pneumonia?

bron·chi·tis (brŏn-kī'tĭs, brŏng-)
1. Chronic or acute inflammation of the mucous membrane of the bronchial tubes.
2. A disease marked by this inflammation.
bron·chit'ic (-kĭt'ĭk) adj.

–noun Pathology. a collection of pus in a body cavity, esp. the pleural cavity.

Also called pyothorax.


1605–15; < LL < Gk empýēma abscess, equiv. to em- em- 2 + pyē- (var. s. of pyeîn to suppurate, akin to pýon, pýos pus) + -ma n. suffix denoting result of action  (+ info)

In infants, pneumothorax, pneumatocele, and empyema are frequent complications of pneumonia caused by?

possible choices: Haemophilus, Staphylococcus, Klebsiella, Mycoplasma, Streptococcus
Please no guesses this is a serious question for school work.

Staphylococcus aureus  (+ info)

Pneumonia causes infected fluid to collect around the outside of the lung, called an empyema.?

I read online that Pneumonia causes infected fluid to collect around the outside of the lung, called an empyema.
The empyema may need to be drained with a special tube (perform suction).
My question is before the doctors or nurses peformed suction, is it necessary to count the pulses?
Or in what type of situation they need to count the pulses before suction? It was this case when the nurse used her palm to tap on the unconscious patient heart, the patient actually react by shaking the head and bubbles and saliva came out of the mouth, before they want to do the suction, they pause and count the pulse without physical contact with the patient.

Or is it they knew patient is dying and shaking the head is a sign to let go, so they did nothing and count these few seconds which is critical time, to delay any treatment and see if the patient stopped their heart beat. If not, then they will proceed with the next procedure of treatment which they think is necessary?thanks honest ans

You have your information all mixed up.
Empyema is a collection of pus, an abcess that forms in the lung.
The pneumonia fluid impacts the ability of the air to be exchanged through the tissues in the lung. Therefore you see sputum and liquid in the mouth when they are severely ill.
Empyema must be removed by inserting a drainage tube through the side of the patient. (chest tube).
Suction of a patient is a tube down the throat.

It sounds more like the nurse was doing what is called a sternal rub on the patient. That is when you tap the sternum bone, not the heart, to see if the patient rouses to pain or is unconcscious. How do you know they were counting the pulse? Usually you count the respirations by watching the chest rise before suctioning.
When you suction is dependant on the oxygen exchange going on...what is the oxygen saturation etc. Suctioning may not have helped in this patient's case. You never say if they did suction or not.

It sounds to me like you were misinterpreting their actions. Ask the nurses and doctors if the patient is still in their care. Simply politely say "What are you doing now? CAn I help?"  (+ info)

what is the success rate on surgery for abdominal herniation?

have had empyema, and now part of bowel has gone into stomach wall, hence abdominal herniation operation imminent.
need to know approx. recovery time and have been told 10 days needed in hospital. had partial lung removal 10 years ago.

My fiance had this done back in June and I think it depends on how big the operation is. The doctors told my other half that it would just be keyhole surgery but they could tell until they opened him up and then it took longer. He couldn't walk properly for the first 2 weeks, but because it is the muscle wall, it can take anything up to 6months to fully repair itself.  (+ info)

what is empyema?

If you meant emphezema (check sp - my spellcheck's not working) it's a combination of asthma and bronchitis, a result of cigarette smoking for a period of time.  (+ info)

what are causes of recurrence of empyema thoracic?



Empyema is a condition in which pus and fluid from infected tissue collects in a body cavity. The name comes from the Greek word empyein meaning pus-producing (suppurate). Empyema is most often used to refer to collections of pus in the space around the lungs (pleural cavity), but sometimes refers to similar collections in the gall bladder or the pelvic cavity. Empyema in the pleural cavity is sometimes called empyema thoracis, or empyema of the chest, to distinguish it from empyema elsewhere in the body.


Empyema may have a number of causes but is most frequently a complication of pneumonia. Its development can be divided into three phases: an acute phase in which the body cavity fills with a thin fluid containing some pus; a second stage in which the fluid thickens and a fibrous, coagulation protein (fibrin) begins to accumulate within the cavity; and a third or chronic stage in which the lung or other organ is encased within a thick covering of fibrous material.

Causes and symptoms

Empyema thoracis can be caused by a number of different organisms, including bacteria, fungi, and amebas, in connection with pneumonia, chest wounds, chest surgery, lung abscesses, or a ruptured esophagus. The infective organism can get into the pleural cavity either through the bloodstream or other circulatory system, in secretions from lung tissue, or on the surfaces of surgical instruments or objects that cause open chest wounds. The most common organisms that cause empyema are the following bacteria: Streptococcus pneumoniae, Haemophilus influenzae, and Staphylococcus aureus. S. aureus is the most common cause in all age groups, accounting for 90% of cases of empyema in infants and children. Pelvic empyema in women is most often caused by Bacteroides strains or Pseudomonas aeruginosa. In elderly, chronically ill, or alcoholic patients, empyema is often caused by Klebsiella pneumoniae species of bacteria.

When the disease organisms arrive in the cavity surrounding the lungs, they infect the tissues that cover the lungs and line the chest wall. As the body attempts to fight off the infection, the cavity fills up with tissue fluid, pus, and dead tissue cells. Empyema of the gall bladder or pelvis results from similar reactions to infection in those parts of the body.

The signs and symptoms of empyema vary somewhat according to the location of the infection and its severity. In empyema thoracis, patients usually exhibit symptoms of pneumonia, including fever, cough, fatigue, shortness of breath, and chest pain. They may prefer to lie on the side of the body affected by the empyema. Family members may notice bad breath. In severe cases, the patient may become dehydrated, cough up blood or greenish-brown sputum, run a fever as high as 105°F (40.6°C), or fall into a coma.

Patients with thoracic empyema may develop potentially life-threatening complications if the condition is not treated. The infected tissues may develop large collections of pus (abscesses) that can rupture into the patient's airway, or the infection may spread to the tissues surrounding the heart. In extreme cases the empyema may spread to the brain by means of bacteria carried in the bloodstream.

In pelvic empyema, the infection produces large amounts of thick, foul-smelling pus that is rapidly replaced even after drainage. Empyema of the gallbladder is marked by intense pain on the upper right side of the abdomen, high fever, and rigidity of the muscles over the infected area  (+ info)

An inflammation tract that connects two organs is known as?

a. capsulatum
b. sarcoidosis
c. empyema
d. fistula
e. ulceration

d. fistula  (+ info)

pain in shoulder, ribs, and back, all on my left side?

I am 16 years old. About a month ago, my brother went into the hospital for pneumonia. It was too thick to suck out with a needle, so he needed surgery. They found out he had a bacterial infection called empyema which is puss pockets around the lung. He had major surgery, losing 10-20 percent of his left lung. He is healing fine, but ever since the day he went into the emergency room, I've had this crazy pain. It's in my back, and ribs, and under the shoulder blade. All on my left side, it feels as if something is really wrong. What he had is bacteria and is contagious, but i have went to the emergency room twice already, and everything has came back completely normal, sending me home in pain, both times. The only time i actually feel somewhat no pain, is right when i wake up, probably because im all relaxed. I cannot sleep on my left side, and it even hurts to sleep on my right side. Its hard to lay on my stomach, too. So, the only way i can sleep is on my back which it still feels as if something is in there. Please. This is ruining alot for me. It's really hard to go to school, and to deal with this like nothing is wrong. No one really understands how i feel. I just really need help, so if anyone knows anything, please tell me. Thanks.

  (+ info)

Chronic Pain, Ultram ER Mystery Symptom?

First, I've told a Dr. about it, but I am searching for more Info. Maybe someone else dealing with similar chronic pain/pain meds, etc. Any info is appreciate.

So, I have been taking Ultram ER for about 6 months. Recently My dosage was upped to 200 mg/daily by my pain mgmt doctor. Also I take Ultracet (tramadol) 37.5 mg (as needed every 4 hours).

I recently noticed, that I have had a strange phenomenon happening that I believe could be a possible side effect?

When I told my Dr's they ran some tests but did not find anything really.

The symptom is hard to explain, but basically a couple hours after I fall asleep I am in a sort of awake dream. My whole body feels completely numb, I can't move or snap out of it. Tingly everywhere. When I finally do awake, I still feel tingly, although the symptoms are subsiding significantly, and I stand up very dizzy to the point where I fall down almost. It was pretty scary and doesnt happen every night but more like once or twice every couple weeks.

Here's some backgound on me and my coniditions as I realize there may be other causes. 24, male, fit, athletic, non-smoker, no recreational drug use. 2 years ago, my lung spontaneously collapsed. ER, placed a small chest tube to reinflate my lung. The tube failed. A second tube was placed in my chest. The tube reinflated my lung. As I was to be released, I fell very very Ill. After a week in the hospital running tests, a week in ICU, loss of 25% body weight (near death), another chest tube (3) they finally found I had a staph infection in an empyema on my chest wall/lung. They did an emergency thoracotomy (scraping the infection out of my lung, removing small piece of my lung, and scraping my chest wall). Released after 4 weeks hospitalized. 4 more weeks IV antibiotics as outpatient. Severe chronic pain following. 4 radiofrequency ablation treatments on intercostal nerves to remove (some) pain. Chiropractor, Physical Therapy, Post Op Pain Meds (Oxy Codone, Percocet, Lyrica, Celebrex, Ultram ER, Ultracet). 2 Years moderate-severe Post Thoracotomy Chronic Pain Syndrome. Well thats the basics.

I told my doctor as well and got a similiar response, I have a whole team of pain doctors too. The ran MRI's other tests, seemed concerend but couoldn't figure it out and didn't seem to think it was the meds. Also I started on a l ower dose, but it's been raised over time. I dont know. Glad I actually got a a response though. Thanks.

Wow- That's a lot of tramadol.. I am on Ultram it's just the regular 50mg tabs, I take around 4 a day. Anyhow, w/ Ultracet being Ultram as well, just a lower dose, still being taken on top of Ultram I would imagine will put you at higher risks for seizures.. I'm not sure if you are have small ones.. I CAN tell you this tho, I have taken my dose close to bedtime and experienced something similar, and have always wondered what it is/was.. So it MUST be the meds... I have spoken to my doc, and he kinda looked at me odd.  (+ info)

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