Presentation
Patients with anaerobic pleuropulmonary infection may present with a more insidious course and present with weight loss, fever, and chronic cough. A history of aspiration and poor oral hygiene is often evident. [cancertherapyadvisor.com]
In transudative effusion, specific gravity is below 1.015 and less than 3 g/dL of protein is present. [quizlet.com]
/or purulent (empyema) Thoracentesis necessary to differentiate Cancer Most commonly lung cancer, breast cancer, or lymphoma but possible with any tumor metastatic to pleurae Typically causing dull, aching chest pain Pulmonary embolism Effusion present [msdmanuals.com]
[…] an uncommon initial presentation of rheumatoid pleuritis prior to the onset of RA joint symptoms. [racgp.org.au]
Pleural effusion is a common presentation for many pulmonary and systemic diseases, and it is estimated that each year 1.5 million people develop a pleural effusion in the USA and 200 000–250 000 in the UK [ 1, 2 ]. [err.ersjournals.com]
Respiratoric
- Pleural Effusion
Diagnosing a pleural effusion A chest X-ray can usually confirm a pleural effusion. However, if doctors know the reason for the pleural effusion they may not need to carry out any more tests. [medic8.com]
Image: Pleural Effusion PLEURAL EFFUSION DIAGNOSIS There are several tests used to diagnose a pleural effusion. [medicalook.com]
Pleural Effusion Recently Answered 2 Answers A A pleural effusion occurs when the pleural fluid that lubricates the surfaces of the pleura (the lining around the organs in the chest) builds up to abnormal, excessive amounts. [sharecare.com]
Peripheral pleural thickening Clinical information Chronic mild shortness of breath Retired dock worker with history of multiple exposures to asbestos Diagnosis Bilateral calcified asbestos related pleural plaques Pleural effusions A pleural effusion [radiologymasterclass.co.uk]
- Pleuritic Pain
Many cause dyspnea, pleuritic chest pain, or both. Pleuritic chest pain, a vague discomfort or sharp pain that worsens during inspiration, indicates inflammation of the parietal pleura. [msdmanuals.com]
Chest pain occurs because the pleural lining of the lung is irritated. The pain is usually described as pleuritic, defined as a sharp pain, worsening with a deep breath. [emedicinehealth.com]
Pulmonary embolism (tends to produce a comparatively small effusion but disproportionate dyspnoea and pleuritic pain; 80% are exudates, 20% are transudates). Rare causes: Superior vena cava obstruction (usually due to lung cancer). [patient.info]
The distribution of BMI, symptoms of cough, fever, pleuritic pain, and modified medical research council (MMRC) grade of dyspnea did not follow any distinct pattern in the different etiologic categories. [lungindia.com]
Workup
[…] embolism. 4 Because many diseases affecting different organs can cause a pleural effusion, we cannot overemphasize the importance of a thorough history and physical examination to uncover clues that will help identify its cause and narrow the diagnostic workup [mdedge.com]
II, C: “ Two or more diagnoses that equally meet the definition for principal diagnosis : In the unusual instance when two or more diagnoses equally meet the criteria for principal diagnosis as determined by the circumstances of admission, diagnostic workup [hcpro.com]
X-Ray
- Chest X-Ray Abnormal
Home » Tutorials » Chest X-ray Tutorials » Chest X-ray Abnormalities » Introduction » 1 2 3 4 5 6 7 8 9 10 11 » Conclusion Key points The pleura and pleural spaces are only visible when abnormal There should be no visible space between the visceral and [radiologymasterclass.co.uk]
- X-Ray Abnormal
Home » Tutorials » Chest X-ray Tutorials » Chest X-ray Abnormalities » Introduction » 1 2 3 4 5 6 7 8 9 10 11 » Conclusion Key points The pleura and pleural spaces are only visible when abnormal There should be no visible space between the visceral and [radiologymasterclass.co.uk]
Pleura
- Pleural Effusion
Diagnosing a pleural effusion A chest X-ray can usually confirm a pleural effusion. However, if doctors know the reason for the pleural effusion they may not need to carry out any more tests. [medic8.com]
Image: Pleural Effusion PLEURAL EFFUSION DIAGNOSIS There are several tests used to diagnose a pleural effusion. [medicalook.com]
Pleural Effusion Recently Answered 2 Answers A A pleural effusion occurs when the pleural fluid that lubricates the surfaces of the pleura (the lining around the organs in the chest) builds up to abnormal, excessive amounts. [sharecare.com]
Peripheral pleural thickening Clinical information Chronic mild shortness of breath Retired dock worker with history of multiple exposures to asbestos Diagnosis Bilateral calcified asbestos related pleural plaques Pleural effusions A pleural effusion [radiologymasterclass.co.uk]
Treatment
In some cases, draining the pleural effusion may be sufficient treatment but if the underlying illness cannot be treated effectively, the effusion is likely to return and therefore other treatments may be recommended. [medic8.com]
PLEURAL EFFUSION TREATMENT Even with treatments available, complications do sometimes arise if you suffer from a pleural effusion. If a lung is surrounded by fluid for a prolonged amount of time, that lung may collapse. [medicalook.com]
Further treatments, depending on the cause of the effusi on, include: Surgery Radiotherapy (using high-powered X-rays or other radioactive particles to kill cancer cells) Chemotherapy (treatment used to kill cancer cells) Injecting medication into the [hospitals.aku.edu]
P sallidas et al. [ 6 ] provide a state-of-the-art review of malignant pleural effusion from bench-to-bedside focusing on the pathogenesis, novel treatments and future directions. [err.ersjournals.com]
PROGNOSIS AND TREATMENT CHARACTERIZATION PROGNOSTIC FACTORS TREATMENT GENERAL Medical and surgical treatment of parapneumonic effusions : an evidence-based guideline. [thedoctorsdoctor.com]
Prognosis
Prognosis In patients with pleurisy, the outlook depends on the underlying medical illness. Lung infection — People with epidemic pleurodynia or other viral cause of pleurisy have an excellent prognosis. [drugs.com]
(Outcomes/Resolutions) The prognosis of Pleural Effusion depends upon the underlying cause If the underlying cause is detected promptly and appropriately managed, the outcome is better Additional and Relevant Useful Information for Pleural Effusion: A [dovemed.com]
Prognosis of Pleural Effusion Prognosis for patients with pleural effusions varies based on the underlying condition causing the retention of pleural fluids. [mesothelioma.com]
Pleural effusion in MM normally indicates a poor prognosis for myeloma and a low possibility of survival. Pleural effusion is seen in only few patients with myeloma. [casereports.in]
The presence of a malignant pleural effusion is associated with a poor prognosis with median survival following diagnosis ranging from 3 to 12 months depending on cell type. [ 1 ] [patient.info]
Etiology
To treat pleural effusion appropriately, it is important to determine its etiology. However, the etiology of pleural effusion remains unclear in nearly 20% of cases. Thoracocentesis should be performed for new and unexplained pleural effusions. [dovepress.com]
No etiologic diagnosis could be established in 6 (12%) patients and their etiology was categorized as "undetermined." [lungindia.com]
A cell count may also reveal an underlying etiology. [aafp.org]
The etiology is usually unknown, but heart failure, lymphoma, heart worm infection and lymphangiectasia are sometimes implicated. Timecourse Acute. Insidious and progressive. [vetstream.com]
Drugs Drugs used in pleural effusion depends on the condition’s etiology. [medcaretips.com]
Epidemiology
Epidemiological differences among pneumococcal serotypes. Lancet Infect Dis. 2005 Feb. 5(2):83-93. [Medline]. Byington CL, Korgenski K, Daly J, Ampofo K, Pavia A, Mason EO. [emedicine.medscape.com]
Merchant JA (1990) Human epidemiology: a review of fiber type and characteristics in the development of malignant and nonmalignant disease. Environ Health Perspect 88:287-93 46. [mhlw.go.jp]
Epidemiology of the vasculitides. Rheum Dis Clin North Am, 27 (2001), pp. 729-749 [147] C. Salvarani, F. Cantini, L. Boiardi, G.G. Hunder. Polymyalgia rheumatica and giant-cell arteritis. N Engl J Med, 347 (2002), pp. 261-271 [148] T.S. Larson, S. [archbronconeumol.org]
Pathophysiology
Chest 121:2079–2080 PubMed CrossRef Google Scholar Miserocchi G (1997) Physiology and pathophysiology of pleural fluid turnover. [link.springer.com]
Pathophysiology Fluid accumulation in pleural space → lung lobes unable to expand → dyspnea. True transudates associated with hypoproteinemia. [vetstream.com]
This article reviews the pathophysiology of MPE along with available investigations and management strategies for these patients. [academic.oup.com]
Pathophysiology of malignant pleural effusion7 The tumours most commonly associated with pleural effusion are lung, breast, lymphoma and tumours of the GI tract. Tumour cells migrate to the pleura by either haematogenous or lymphatic spread. [rcemlearning.co.uk]
Image Credit: Wikipedia Pathophysiology and Causes of Pleural Effusion The normal pleural space contains approximately 10 mL of fluid, representing the balance between Hydrostatic and oncotic forces in the visceral and parietal pleural vessels Extensive [medcaretips.com]
Prevention
If congestive heart failure is the cause, diuretics may be used to prevent fluid buildup. Other medicines also may be used to treat heart failure. [sharecare.com]
Prevention In some cases, you can prevent pleurisy by preventing the medical condition that causes it. For example, some types of pneumonia can be prevented by vaccination. [drugs.com]
Pleural Effusion Prevention Pleural effusions are caused by a variety of conditions and illnesses. Preventing the underlying cause will decrease the potential of developing an effusion. [emedicinehealth.com]