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Pleural Effusion

June 04, 2012  by: Dr. Simran Kaur  Points: 8   Category: Health  Earning $0.20   Views: 547

Pleural effusion is collection of serous fluid in space between partial pleura and visceral pleura.

         

Pleural effusion is collection of serous fluid in space between partial pleura and visceral pleura.

Symptoms-

1. Pleurisy.

2. Breathlessness.

3. Shift of trachea and mediastinum to opposite side of the pleural effusion.

4. Bulging of intercostals space towards outside.

5. Decreased chest expansion during inspiration.

6. Dullness on percussion which is highest on lateral side of chest in axillary region.

7. Breath sounds audibility is decreased due to fluid collection of pleural effusion over affected area.

8. Chest x-ray show pleural effusion in the form of opacity over affected region.


Investigations-

1. Chest x-ray posterior-anterior view, antero-posterior and lateral decubitus view.
2. Ultrasound.

3. Pleural biopsy.

4. Blood test for TLC and WBC.

5. ESR, RA factor.

6. Mantoux test.

7. Sputum test.

8. Bronchoscopy.

9. Thoracoscopy.

10. Finer needle aspiration biopsy.


Treatment-

1. Treat the underlying cause responsible for causing pleural effusion. Treat the infection.

2. Therapeutic aspiration of pleural fluid.

3. Pleurodesis for malignant pleural effusion.

4. Medicines to combat pleural effusion and to prevent further spread of pleural effusion.




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