Pleural Effusion

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Information O from Your Family Doctor Pleural Effusion What is a pleural effusion? How is it treated? Pleural effusion (PLUR-al ef-YOO-shun) is If you don’t have any symptoms, your doctor when fluid collects in the tissue between your might decide to wait and see if it goes away. lungs and the wall of your chest. But if you have symptoms, or if the cause isn’t known, it may need to be drained. Your doctor What causes it? will treat the cause of the effusion to try to Pleural effusion can be caused by many prevent it from returning. different diseases. The most common causes are July 2014 congestive heart failure, pneumonia, pulmonary embolism (a blood clot in the lung), or cancer. Notes: What are the symptoms? You might not have any symptoms, or you might feel short of breath, have a cough, or feel pain when you take a deep breath. How can my doctor tell if I have it? You may need a chest x-ray or CT scan. Based on your symptoms and the size of the effusion, your doctor may be able to tell what’s causing it. If not, you might need a procedure called a thoracentesis (THOR-ah-sen-TEE-sis). Your doctor will put a needle into your chest to drain some of the fluid out. Then the fluid is tested to find out what’s causing the pleural effusion. This handout is provided to you by your family doctor and the American Academy of Family Physicians. Other health-related information is available from the AAFP online at http://familydoctor.org. This information provides a general overview and may not apply to everyone. Talk to your family doctor to find out if this information applies to you and to get more information on this subject. Copyright © 2014 American Academy of Family Physicians. Individuals may photocopy this material for their own personal reference, and physicians may photocopy for use with their own patients. Written permission is required for all other uses, including electronic uses. Page 1 of 1.

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Pleural Effusion and Ventilation/Perfusion Scan Interpretation for Acute Pulmonary Embolus
ventricular function by radionuclide angiography during exercise in normal subjects 33. Verani MS. Myocardial perfusion imaging versus two-dimensional echocardiography: and patients with chronic coronary heart disease. J Am Coll Cardiol 1983;1:1518- comparative value in the diagnosis of coronary artery disease. J NucÃCardiol 1529. 1994;1:399-414. 29. Adam WE. Tarkowska A, Bitter F, Stauch M, Geffers H. Equilibrium (gated) 34. Foster T, McNeill AJ, Salustri A, et al. Simultaneous dobutamine stress echocardiog radionuclide ventriculography. Cardiovasc Radial 1979;2:161-173. raphy and technetium-99m SPECT in patients with suspected coronary artery disease. 30. Hurwitz RA, TrÃªvesS, Kuroc A. Right ventricular and left ventricular ejection fraction J Am Coll Cardiol I993;21:1591-I596. in pediatrie patients with normal hearts: first pass radionuclide angiography. Am 35. Marwick TH, D'Hondt AM, Mairesse GH, Baudhuin T, Wijins W, Detry JM, Meiin Heart J 1984;107:726-732. 31. Freeman ML, Palac R, Mason J, et al. A comparison of dobutamine infusion and JA. Comparative ability of dobutamine and exercise stress in inducing myocardial ischemia in active patients. Br Heart J 1994:72:31-38. supine bicycle exercise for radionuclide cardiac stress testing. Clin NucÃMed 1984:9:251-255. 36. Senior R, Sridhara BS, Anagnostou E, Handler C, Raftery EB, Lahiri A. Synergistic 32. Cohen JL, Greene TO, Ottenweller J, Binebaum SZ, Wilchfort SD, Kim CS. value of simultaneous stress dobutamine sestamibi single-photon-emission computer Dobutamine digital echocardiography for detecting coronary artery disease. Am J ized tomography and echocardiography in the detection of coronary artery disease.
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Pneumothorax Ex Vacuo in a Patient with Malignant Pleural Effusion After Pleurx Catheter Placement
The Medicine Forum Volume 16 Article 20 2015 Pneumothorax ex vacuo in a Patient with Malignant Pleural Effusion After PleurX Catheter Placement Meera Bhardwaj, MS4 Thomas Jefferson University, [email protected] Loheetha Ragupathi, MD Thomas Jefferson University, [email protected] Follow this and additional works at: https://jdc.jefferson.edu/tmf Part of the Medicine and Health Sciences Commons Let us know how access to this document benefits ouy Recommended Citation Bhardwaj, MS4, Meera and Ragupathi, MD, Loheetha (2015) "Pneumothorax ex vacuo in a Patient with Malignant Pleural Effusion After PleurX Catheter Placement," The Medicine Forum: Vol. 16 , Article 20. DOI: https://doi.org/10.29046/TMF.016.1.019 Available at: https://jdc.jefferson.edu/tmf/vol16/iss1/20 This Article is brought to you for free and open access by the Jefferson Digital Commons. The Jefferson Digital Commons is a service of Thomas Jefferson University's Center for Teaching and Learning (CTL). The Commons is a showcase for Jefferson books and journals, peer-reviewed scholarly publications, unique historical collections from the University archives, and teaching tools. The Jefferson Digital Commons allows researchers and interested readers anywhere in the world to learn about and keep up to date with Jefferson scholarship. This article has been accepted for inclusion in The Medicine Forum by an authorized administrator of the Jefferson Digital Commons. For more information, please contact: [email protected]. Bhardwaj, MS4 and Ragupathi, MD: Pneumothorax ex vacuo in a Patient with Malignant Pleural Effusion After PleurX Catheter Placement Pneumothorax ex vacuo in a Patient with Malignant Pleural Effusion After PleurX Catheter Placement Meera Bhardwaj, MS4 and Loheetha Ragupathi, MD INTRODUCTION Pneumothorax ex vacuo (“without vaccuum”) is a type of pneumothorax that can develop in patients with large pleural effusions.
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An Interesting Case of Undiagnosed Pleural Effusion Case Report
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Allergic Bronchopulmonary Aspergillosis: a Perplexing Clinical Entity Ashok Shah,1* Chandramani Panjabi2
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The Spectrum of Computed Tomography Appearances
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Cryptogenic Organizing Pneumonia: Evolution of Morphological Patterns Assessed by HRCT
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Allergic Bronchopulmonary Aspergillosis: a Clinical Review of 24 Patients: Are We Right in Frequent Serologic Monitoring?
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Pleural Effusion a Medford, N Maskell
702 Postgrad Med J: first published as 10.1136/pgmj.2005.035352 on 4 November 2005. Downloaded from REVIEW Pleural effusion A Medford, N Maskell ............................................................................................................................... Postgrad Med J 2005;81:702–710. doi: 10.1136/pgmj.2005.035352 Pleural disease remains a commonly encountered clinical fluid may be helpful diagnostically and should always be recorded in the medical notes. A problem for both general physicians and chest specialists. pleural:serum packed cell volume .0.5 shows a This review focuses on the investigation of undiagnosed haemothorax with ,1% being not significant.3 pleural effusions and the management of malignant and parapneumonic effusions. New developments in this area Exudate compared with transudates Classically, exudates having a protein level are also discussed at the end of the review. It aims to be .30 g/l and transudates ,30 g/l. Light’s criteria evidence based together with some practical suggestions will enable differentiation more accurately when for practising clinicians. the pleural protein is unhelpful (box 2).4 Occasionally, Light’s criteria will label an effu- ........................................................................... sion in a patient with left ventricular failure taking diuretics an exudate in which case clinical leural effusions are a common medical judgement is required. problem and a significant source of morbid- ity. There is wide variation in management P Differential cell counts despite their significant prevalence, partly because of the relative lack of randomised Differential cell counting adds little diagnostic controlled trials in this area. This review con- information. Pleural lymphocytosis is common in siders: malignant and tuberculous effusions but can also be attributable to rheumatoid disease, N The approach to the investigation of the lymphoma, sarcoidosis, and chylothorax.5 undiagnosed pleural effusion.
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