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PleuralEffusion

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Pleural effusion x-ray (left-sided)

This PA Chest X-Ray demonstrates a left sided pleural effusion. In this condition fluid collects between the parietal and visceral pleura and appears as a shadowy fluid level on the X-Ray with obliteration of the costophrenic angles. If you were to examine this patient they might be in respiratory distress from reduced oxygen uptake (so have low sats, high resp rate, possible cyanosis and accessory muscle useage) - they may have reduced chest expansion on the affected side and it would be stony dull to percussion. Fluid transmits sound poorly so breath sounds would be decreased as would vocal resonance/fremitus. Someone with consolidation may have very similar clinical findings but the underlying area of lung is almost solid due to pus from the infective process - as sounds travel well through solids they would have increased vocal fremitus which is how you can clinically differentiate between the two conditions. Clinical examination and understanding of conditions is paramount to practice effective medicine. Before you recieved this X-Ray you should be able to diagnose the condition and use the X-Ray to confirm your suspicions.  
Rhys Clement
almost 11 years ago
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163

Chest x-Ray

Left Sided Pleural effusion. The most common cause of this presentation is malignancy. It is important to consider the source of a possible primary. It may also be necessary to obtain a sample of the effusion fluid to determine whether it is a transudate or an exudate, using Light's criteria as a guide. Exudate contains greater levels of protein than a transudate reflecting it's often inflammatory origin as the blood vessels become 'leaky' to protein molecules. The differential diagnosis for bilateral pleural effusions is different again. Consider 'failure' e.g. heart, renal or hepatic.  
Tim Ritzmann
over 10 years ago
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VPB2_2010 | Case03

ResearchToPractice.com/VPB210 –A 62-yo woman has an ER+, HER2- lobular carcinoma encompassing the left breast and a right pleural effusion and peritoneal stranding on CT scan. Interview conducted by Neil Love, MD. Produced by Research To Practice.  
Dr Neil Love
almost 10 years ago
8
1
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VPL1 2009 | Case 6

ResearchToPractice.com/VPL109 – Case 6: A 68-year-old man with a Stage IIIB squamous cell carcinoma and significant pleural effusion. Interviews conducted by Neil Love, MD. Produced by Research To Practice.  
Dr Neil Love
almost 10 years ago
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1
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VPL1 2009 | Case 9

ResearchToPractice.com/VPL109 – Case 9: A 62-year-old man with adenocarcinoma of the lung, symptomatic pleural effusion and a cerebellar mass. Interviews conducted by Neil Love, MD. Produced by Research To Practice.  
Dr Neil Love
almost 10 years ago
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100

Pleural Effusion

 
almostadoctor.com - free medical student revision notes
over 6 years ago
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How to Interpret a Chest X-Ray (Lesson 6 - Diaphragm and Pleura)

A review of how to diagnose a pneumothorax, various forms of pleural effusion, other forms of pleural disease, and pneumoperitoneum. A differential diagnosis...  
YouTube
over 6 years ago
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Is a patient with a tuberculous pleural effusion regarded as being infectious?

I'm not sure if a patient with pleural effusion caused by TB is regarded as infectious. Does anybody have any evidence that it is regarded as such?  
Lisa Caldrick
almost 8 years ago
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Pleural effusion and pulmonary embolisation

Does anyone know how pulmonary embolisation causes effusion as it affects the local vasculature?  
sampath kumar
over 7 years ago
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Why do you get a pleural effusion (Left > Right) in Aortic Dissection?

Why do you get a pleural effusion (Left > Right) in Aortic Dissection?  
Harriet Blundell
over 7 years ago
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88

Pleural Effusions - Transudate, Exudate & Lymphatic

http://usmlefasttrack.com/?p=6075 Pleural, Effusions, -, Transudate,, Exudate, &, Lymphatic, Findings, symptoms, findings, causes, mnemonics, review, what is...  
youtube.com
over 5 years ago
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Pleural Effusions - Transudate, Exudate & Lymphatic - YouTube

http://usmlefasttrack.com/?p=6075 Pleural, Effusions, -, Transudate,, Exudate, &, Lymphatic, Findings, symptoms, findings, causes, mnemonics, review, what is...  
youtube.com
over 5 years ago
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Lung Conditions - Physical Finding

http://usmlefasttrack.com/?p=6061 percussion, fremitus, tracheal deviation, pleural effusion, atelectasis, spontaneous pneumothorax, tension pneumothorax, co...  
youtube.com
over 5 years ago
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Pleural Effusion Explained Clearly | 3 of 3

Learn the key points of pleural effusions with this clear explanation by Dr. Roger Seheult. Video 3 of 3 includes discussion on pleural fluid analysis (color...  
youtube.com
over 5 years ago
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2
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Pleural Effusion Explained Clearly | 2 of 3

Review pleural effusions with this brief and clear explanation by Dr. Roger Seheult. Video 2 of 3 includes discussion on the causes of pleural effusions: int...  
youtube.com
over 5 years ago
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3
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Pleural Effusion Explained Clearly

Understand pleural effusions with this clear illustration by Dr. Roger Seheult. Includes discussion on causes, symptoms, pathophysiology, diagnosis (includin...  
youtube.com
over 5 years ago
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Imaging Case of the Week 148 Answer

The chest x-rays show a thick walled cavity in the right middle lobe and an airspace opacity in the left upper lobe with cavity. There is a patchy opacity in the left lingular lobe. There is no pneumothorax or pleural effusion and the cardiomediastinal contour appears normal.  
emergucate.com
over 5 years ago
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RE-WARM (Really Easy WAys to Remember Medicine): Pleural Effusions

The best way to remember heaps of information is by association. This is a collection of stories/mnemonics/pictures created by medics to help remember majorly boring stuff.  
rewarm.co.uk
over 5 years ago
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Left Pleural effusion

Prepare for USMLE,UK,CANADIAN,AUSTRALIAN, NURSING & OTHER MEDICAL BOARD examinations around the globe with us.Understand the basics, concepts and how to answ...  
youtube.com
almost 5 years ago