Presentation
It is present in various forms but its manifestation as pleural effusion is rare. Here, we describe a case of 58-year-old male who presented with complaint of left side chest pain and breathlessness. [ncbi.nlm.nih.gov]
Respiratoric
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Pleural Effusion
Pleural effusion with MM was caused by congestive heart disease, chronic renal failure, hypoalbuminemia, pulmonary infarctions, cirrhosis, pulmonary arterial hypertension, parapneumonic effusion, tuberculous pleural effusion, and myelomatous pleural effusion [ncbi.nlm.nih.gov]
[…] disease Exudative[edit] Pleural effusion Anteroposterior Chest X-ray of a pleural effusion. [en.wikipedia.org]
effusion Loculated pleural effusion Pleural effusion Pleural effusion (fluid around lung) Secondary pleural effusion Clinical Information A disorder characterized by an increase in amounts of fluid within the pleural cavity. [icd9data.com]
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Cough
Symptoms include shortness of breath, cough, and chest pain. [icd9data.com]
We report a 22-year-old woman who presented to the Emergency Medicine Department of the Sultan Qaboos University Hospital, Muscat, Oman, in 2017 with an eight-day history of fever associated with coughing, chills and rigors. [ncbi.nlm.nih.gov]
A pleural effusion may cause you to cough or feel short of breath. You may breathe faster than usual. You may have mild to severe chest pain that starts or gets worse when you breathe in or cough. [drugs.com]
Therapeutic thoracocentesis with nearly complete removal of the fluid collection alleviates dyspnoea and cough in most circumstances. [bestpractice.bmj.com]
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Dyspnea
CASE PRESENTATION: An 84-year-old Japanese non-smoking woman with a history of lung cancer, treated by surgery, was admitted due to gradual worsening of dyspnea that had occurred over the previous month. [ncbi.nlm.nih.gov]
If dyspnea caused by malignant pleural effusion is relieved by thoracentesis but fluid and dyspnea redevelop, chronic (intermittent) drainage or pleurodesis is indicated. [merckmanuals.com]
Dyspnea, or shortness of breath, is common with emergency department patients. [appliedradiology.com]
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Orthopnea
The patient may have unrelated symptoms due to the disease or condition that has caused the effusion.Symptoms of pleural effusion include: Chest pain Dry, nonproductive cough Dyspnea (shortness of breath, or difficult, labored breathing) Orthopnea (the [my.clevelandclinic.org]
Signs: Pleural Effusion cause-specific examination Constitutional Fever ( Pneumonia, empyema, Tb, malignancy, abdominal abscess) Pulmonary Hemoptysis (malignancy, PE, Tb) Cardiovascular Increased Jugular Venous Pressure (CHF, Pericarditis ) Orthopnea [fpnotebook.com]
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Decreased Breath Sounds
Patient was in mild distress and had decreased breath sounds over right lung fields about halfway up with dullness to percussion. Computed tomography of the chest showed a moderate-sized right pleural effusion and an anterior mediastinal mass. [ncbi.nlm.nih.gov]
Physical exam is notable for a woman with increased work of breathing and decreased breath sounds over the right lower lobe. A chest radiograph is performed, which demonstrates an extensive right pleural effusion. [step2.medbullets.com]
The physician will listen to the chest with a stethoscope for signs of decreased breath sounds or a pleural friction rub--the sound of pleura rubbing together during respiration. Duration: 01:44 Published: 15/02/2016 [blausen.com]
breath sounds Decreased Vocal resonance Bronchial breathing or aegophony (bleating vocal resonance) over top of effusion, due to lung compression Differential diagnosis of pleural effusion (decreased air entry on auscultation) Consolidation Collapse [oxfordmedicaleducation.com]
Physical examination revealed dullness to percussion and decreased breath sounds throughout his right hemithorax, with normal lung sounds on the left. [rc.rcjournal.com]
Cardiovascular
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Chest Pain
To the authors' knowledge, itinerant chest pain has not been reported as sign or symptom of PE. A 41-year-old woman presenting with left chest pain, no hemoptysis, or breathing difficulties. The chest pain was more severe on deep inspiration. [ncbi.nlm.nih.gov]
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. [merckmanuals.com]
Workup
Echocardiogram showed ejection fraction of 45% and cardiac workup for sarcoid involvement was negative. [ncbi.nlm.nih.gov]
It can save the clinician significant time and avoid unnecessary additional workup. Remember, however, that Light’s criteria is more sensitive than specific test for exudative effusions. [mdcalc.com]
If the etiology of the exudate is still unknown after the above workup, then a pleural biopsy is generally indicated. This procedure can be done through various methods, such as image-guided needle biopsy or thoracoscopic biopsy. [clinicaladvisor.com]
If FLDH rather than TPR had been used as the sole diagnostic test in our series of 200 patients, one fewer patient would have been subjected to further diagnostic workup. [doi.org]
While it is not routinely utilized as part of an ED workup, it may be useful in the evaluation of the very young, of pregnant patients, or of those in whom contrast dye is contraindicated. [10] MRI may be helpful in distinguishing benign from malignant [emedicine.medscape.com]
X-Ray
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Atelectasis
Arterial blood gases, pleural effusion, and atelectasis were compared between groups. Atelectasis and pleural effusion was reduced in experimental group. [ncbi.nlm.nih.gov]
Atelectasis – a collapsed or airless state of the lung – may be acute or chronic, and may involve all or part of the lung. The primary cause of atelectasis is obstruction of the bronchus serving the affected area. [cardiachealth.org]
NPs and PAs have provided great feedback on Pneumonia Treatment, Atelectasis, Lung Cancer, Oncology, and Liver Function Tests among many others. [youtube.com]
Types of disorders that can cause transudative effusions include congestive heart failure, cirrhosis, and atelectasis. It is also associated with some medical procedures, such as peritoneal dialysis. [blausen.com]
This cannot be atelectasis from compression - it is pneumonia with an associated effusion. A massive effusion. The depth between the pleura is 6cm. [icmteaching.com]
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Pleural Effusion on Chest X-Ray
How is Pleural effusion Diagnosed? Chest x-ray can detect pleural effusion containing 300ml or more. Pleural effusions can be unilateral or bilateral – a large unilateral pleural effusion is more ominous since it can signify a malignancy. [healthengine.com.au]
The usual tests that will identify pleural effusions are: Chest X-ray film : Many times, the first step in diagnosing is plain X-ray films. They will show up on chest X-rays as a white space at the bottom of the lung. [md-health.com]
effusion Anteroposterior Chest X-ray of a pleural effusion. [en.wikipedia.org]
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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]
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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]
Microbiology
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Paragonimus Westermani
The diagnosis was confirmed using enzyme-linked immunosorbent assays, which showed elevated Paragonimus westermani and Paragonimus miyazakii antibody levels. After the initiation of praziquantel therapy, all clinical findings were promptly improved. [ncbi.nlm.nih.gov]
Pleura
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Pleural Effusion
Pleural effusion with MM was caused by congestive heart disease, chronic renal failure, hypoalbuminemia, pulmonary infarctions, cirrhosis, pulmonary arterial hypertension, parapneumonic effusion, tuberculous pleural effusion, and myelomatous pleural effusion [ncbi.nlm.nih.gov]
[…] disease Exudative[edit] Pleural effusion Anteroposterior Chest X-ray of a pleural effusion. [en.wikipedia.org]
effusion Loculated pleural effusion Pleural effusion Pleural effusion (fluid around lung) Secondary pleural effusion Clinical Information A disorder characterized by an increase in amounts of fluid within the pleural cavity. [icd9data.com]
Treatment
Treatment outcomes were compared between patients with TPE with and without cancer. [ncbi.nlm.nih.gov]
Prognosis
The three cases and literature review suggest that MPE is rare and often associated with a poor prognosis. [ncbi.nlm.nih.gov]
Prognosis of Pleural Effusion Prognosis for patients with pleural effusions varies based on the underlying condition causing the retention of pleural fluids. [mesothelioma.com]
Etiology
The aims of this study were to determine the diagnostic yield and safety of medical thoracoscopy for exudative pleural effusions and ascertain the etiology of such effusions in Qatar. [ncbi.nlm.nih.gov]
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]
Epidemiology
Aged Pleural Effusion/drug therapy* Pleural Effusion/epidemiology Pleural Effusion/genetics Recurrence Retrospective Studies Treatment Outcome Young Adult Substance Dasatinib [ncbi.nlm.nih.gov]
He has since completed further training in emergency medicine, clinical toxicology, clinical epidemiology and health professional education. [lifeinthefastlane.com]
Definition of pleural effusion Accumulation of fluid between the pleural layers Epidemiology of pleural effusion Estimated prevalence of pleural effusion is 320 cases per 100,000 people in industrialized countries, with a distribution of etiologies related [oxfordmedicaleducation.com]
[…] separately: empyema (pyothorax) chylothorax hemothorax urinothorax (urothorax) infusothorax (chemothorax) As the accumulation of fluid in the pleural space occurs in a broad range of disparate clinical scenarios, no single demographic is affected; rather the epidemiology [radiopaedia.org]
Pathophysiology
Abstract The pathophysiology of isolated pleural effusion in ovarian hyperstimulation syndrome (OHSS) is not well defined. [ncbi.nlm.nih.gov]
Includes discussion on causes, symptoms, pathophysiology, diagnosis (including interpretation of chest x ray and differentiation from atelectasis), use of ultrasound, thoracentesis and more. [youtube.com]
View Article PubMed Google Scholar Sahn SA: The pathophysiology of pleural effusions. Annu Rev Med. 1990, 41: 7-13. 10.1146/annurev.med.41.1.7. [doi.org]
Prevention
The objective of the current review is to delineate the pathophysiology, risk factors, preventive measures, and therapeutic options of isolated pleural effusion in severe OHSS. Major databases were searched until June 2016. [ncbi.nlm.nih.gov]
Surgery May Be Required When locutaion prevents fluid drainage, the standard of care is surgery to remove the scar tissue. [lungtx.com]
How can I help prevent pleural effusion? Most pleural effusions cannot be prevented. Some pleural effusion may be prevented by early diagnosis and treatment of the underlying condition. Developed by RelayHealth. Published by RelayHealth. [summitmedicalgroup.com]