SlideShare a Scribd company logo

Pleural effusion

M
M
Medical StudentStudent at ukm

A slide about pleural effusion

Pleural effusion

1 of 11
Download to read offline
Pleural effusion
definition
• Fluid in the pleural spaces
• It can be
• Blood : haemothorax
• Pus : empyema
• Chyle : chylothorax
• Effusions (divided by protein concentration)
• Transudates (<25g/L)
• Exudates (>25g/L)
causes
• Transudates
• Increase venous pressure
• Cardiac failure
• Constrictive pericarditis
• Fluid overload
• Hypoproteinaemia
• Liver cirrhosis
• Nephrotic syndrome
• Hypothyroidism
• Meig's syndrome (right pleural effusion and ovarian fibroma)
• Exudates
• Increase leakiness secondary to
• Infection : pneumonia,TB
• Inflammation : pulmonary infarction,RA,SLE,
• Malignancy : bronchogenic ca,metastases,lymphoma,mesothelioma,lymphangitis
carcinomatosis
symptoms
• Dyspnea
• Pleuritic chest pain
signs
• Inspection
• Aspiration marks
• Palpation
• Tracheal deviation
• Decrease chest expansion
• Tactile vocal fremitus reduced
• Percussion
• Stony dullness
• Auscultation
• Diminished breath sounds on affected side
• Vocal resonance reduced
• Bronchial breathing (above the effusion
Look for signs of associated disease
• Malignancy : cachexia,clubbing,lymphadenopathy,radiation marks,
mastectomy scars
• Chronic liver disease
• Cardiac failure
• Hypothyroidism
• RA
• SLE

Recommended

Approaches to pleural effusion
Approaches to pleural effusionApproaches to pleural effusion
Approaches to pleural effusionDr Slayer
 
Updates in Parapneumonic Effusion and Empyema
Updates in Parapneumonic Effusion and EmpyemaUpdates in Parapneumonic Effusion and Empyema
Updates in Parapneumonic Effusion and EmpyemaGamal Agmy
 

More Related Content

What's hot (20)

Acute respiratory distress syndrome
Acute respiratory distress syndromeAcute respiratory distress syndrome
Acute respiratory distress syndrome
 
Pleural effusion.pptx cme march
Pleural effusion.pptx cme marchPleural effusion.pptx cme march
Pleural effusion.pptx cme march
 
Pleural effusion
Pleural effusionPleural effusion
Pleural effusion
 
Eosinophillic lung diseases
Eosinophillic lung diseasesEosinophillic lung diseases
Eosinophillic lung diseases
 
Pleural effusion
Pleural effusionPleural effusion
Pleural effusion
 
10.Pneumothorax(
10.Pneumothorax(10.Pneumothorax(
10.Pneumothorax(
 
(Pneumothorax
(Pneumothorax(Pneumothorax
(Pneumothorax
 
DIFFUSE ALVEOLAR HAEMORRHAGE
DIFFUSE ALVEOLAR HAEMORRHAGEDIFFUSE ALVEOLAR HAEMORRHAGE
DIFFUSE ALVEOLAR HAEMORRHAGE
 
Community acquired pneumonia
Community acquired pneumoniaCommunity acquired pneumonia
Community acquired pneumonia
 
Approach to a case of pleural effusion
Approach to a case of pleural effusionApproach to a case of pleural effusion
Approach to a case of pleural effusion
 
ARDS
ARDSARDS
ARDS
 
Pulmonary edema
Pulmonary edemaPulmonary edema
Pulmonary edema
 
10.Pneumothorax
10.Pneumothorax10.Pneumothorax
10.Pneumothorax
 
Hemoptysis
HemoptysisHemoptysis
Hemoptysis
 
Pleural effusion
Pleural effusionPleural effusion
Pleural effusion
 
pulmonary embolism
pulmonary embolismpulmonary embolism
pulmonary embolism
 
Pleural effusion
Pleural effusion Pleural effusion
Pleural effusion
 
Hypersensitivity pneumonitis
Hypersensitivity pneumonitisHypersensitivity pneumonitis
Hypersensitivity pneumonitis
 
Pleural Effusion for Undergraduates
Pleural Effusion for UndergraduatesPleural Effusion for Undergraduates
Pleural Effusion for Undergraduates
 
Diffuse Parenchymal Lung Diseases
Diffuse Parenchymal Lung DiseasesDiffuse Parenchymal Lung Diseases
Diffuse Parenchymal Lung Diseases
 

Similar to Pleural effusion

L5 pleural effusion
L5 pleural effusionL5 pleural effusion
L5 pleural effusionbilal natiq
 
Pleural Effusion By Akhtar Totakhail.pptx
Pleural Effusion By Akhtar Totakhail.pptxPleural Effusion By Akhtar Totakhail.pptx
Pleural Effusion By Akhtar Totakhail.pptxDrAkhtarMohammadTota
 
Pleural effusion 18022019
Pleural effusion 18022019Pleural effusion 18022019
Pleural effusion 18022019Itamar Tzadok
 
Pleural effusion
Pleural effusion Pleural effusion
Pleural effusion Ujaas Dawar
 
serous fluid Dr shweta [Autosaved].pptx
serous fluid Dr shweta [Autosaved].pptxserous fluid Dr shweta [Autosaved].pptx
serous fluid Dr shweta [Autosaved].pptxsandeepkumarGarg4
 
Pleural effusion in children
Pleural effusion in childrenPleural effusion in children
Pleural effusion in childrenravindrabn4
 
Pleural Effusion lecture
Pleural Effusion lecturePleural Effusion lecture
Pleural Effusion lectureBasilQuran
 
Approach to patients with pleural effusion (1).pptx
Approach to patients with pleural effusion (1).pptxApproach to patients with pleural effusion (1).pptx
Approach to patients with pleural effusion (1).pptxaashishkoirala6
 
466841108-1-pleural-effusion-ppt.ppt.....
466841108-1-pleural-effusion-ppt.ppt.....466841108-1-pleural-effusion-ppt.ppt.....
466841108-1-pleural-effusion-ppt.ppt.....GokulnathMbbs
 
PLEURAL EFFUSION BY Mr. AKRAM KHAN
PLEURAL EFFUSION BY Mr. AKRAM KHANPLEURAL EFFUSION BY Mr. AKRAM KHAN
PLEURAL EFFUSION BY Mr. AKRAM KHANAkram Khan
 
Management of massive hemoptysis.pptx
Management of massive hemoptysis.pptxManagement of massive hemoptysis.pptx
Management of massive hemoptysis.pptxpriyasharma250767
 
Malignant pleural effusion
Malignant pleural effusion Malignant pleural effusion
Malignant pleural effusion Dileep Benji
 
Approach to a patient with Haemoptysis
Approach to a patient with HaemoptysisApproach to a patient with Haemoptysis
Approach to a patient with HaemoptysisKhairul Jessy
 
Portal Hypertension.pptx
Portal Hypertension.pptxPortal Hypertension.pptx
Portal Hypertension.pptxWinstonM3
 
Malignant Pleural Effusion.pptx
Malignant Pleural Effusion.pptxMalignant Pleural Effusion.pptx
Malignant Pleural Effusion.pptxYY19921
 

Similar to Pleural effusion (20)

Pleural effusion basics
Pleural effusion basicsPleural effusion basics
Pleural effusion basics
 
Pleural effusion
Pleural effusionPleural effusion
Pleural effusion
 
L5 pleural effusion
L5 pleural effusionL5 pleural effusion
L5 pleural effusion
 
Pleural Effusion By Akhtar Totakhail.pptx
Pleural Effusion By Akhtar Totakhail.pptxPleural Effusion By Akhtar Totakhail.pptx
Pleural Effusion By Akhtar Totakhail.pptx
 
Pleural effusion
Pleural effusionPleural effusion
Pleural effusion
 
Pleural effusion 18022019
Pleural effusion 18022019Pleural effusion 18022019
Pleural effusion 18022019
 
Pleural effusion
Pleural effusion Pleural effusion
Pleural effusion
 
serous fluid Dr shweta [Autosaved].pptx
serous fluid Dr shweta [Autosaved].pptxserous fluid Dr shweta [Autosaved].pptx
serous fluid Dr shweta [Autosaved].pptx
 
Pleural effusion in children
Pleural effusion in childrenPleural effusion in children
Pleural effusion in children
 
Pleural Effusion lecture
Pleural Effusion lecturePleural Effusion lecture
Pleural Effusion lecture
 
Approach to patients with pleural effusion (1).pptx
Approach to patients with pleural effusion (1).pptxApproach to patients with pleural effusion (1).pptx
Approach to patients with pleural effusion (1).pptx
 
Rectal bleeding
Rectal bleedingRectal bleeding
Rectal bleeding
 
466841108-1-pleural-effusion-ppt.ppt.....
466841108-1-pleural-effusion-ppt.ppt.....466841108-1-pleural-effusion-ppt.ppt.....
466841108-1-pleural-effusion-ppt.ppt.....
 
PLEURAL EFFUSION BY Mr. AKRAM KHAN
PLEURAL EFFUSION BY Mr. AKRAM KHANPLEURAL EFFUSION BY Mr. AKRAM KHAN
PLEURAL EFFUSION BY Mr. AKRAM KHAN
 
Management of massive hemoptysis.pptx
Management of massive hemoptysis.pptxManagement of massive hemoptysis.pptx
Management of massive hemoptysis.pptx
 
Malignant pleural effusion
Malignant pleural effusion Malignant pleural effusion
Malignant pleural effusion
 
Approach to a patient with Haemoptysis
Approach to a patient with HaemoptysisApproach to a patient with Haemoptysis
Approach to a patient with Haemoptysis
 
Portal Hypertension.pptx
Portal Hypertension.pptxPortal Hypertension.pptx
Portal Hypertension.pptx
 
Pleural diseases
Pleural diseasesPleural diseases
Pleural diseases
 
Malignant Pleural Effusion.pptx
Malignant Pleural Effusion.pptxMalignant Pleural Effusion.pptx
Malignant Pleural Effusion.pptx
 

More from Medical Student (17)

Neural tube defect
Neural tube defectNeural tube defect
Neural tube defect
 
Meningitis
MeningitisMeningitis
Meningitis
 
Epilepsy
EpilepsyEpilepsy
Epilepsy
 
Medical exam checklist
Medical exam checklistMedical exam checklist
Medical exam checklist
 
Febrile seizure
Febrile seizureFebrile seizure
Febrile seizure
 
Sigmoid volvulus
Sigmoid volvulusSigmoid volvulus
Sigmoid volvulus
 
Familial colorectal cancer
Familial colorectal cancerFamilial colorectal cancer
Familial colorectal cancer
 
Stoma
StomaStoma
Stoma
 
Fibroadenosis
FibroadenosisFibroadenosis
Fibroadenosis
 
Lung abscess
Lung abscessLung abscess
Lung abscess
 
Empyema
EmpyemaEmpyema
Empyema
 
Bronchiectasis
BronchiectasisBronchiectasis
Bronchiectasis
 
Hemophilia
HemophiliaHemophilia
Hemophilia
 
Disseminated intravascular coagulation
Disseminated intravascular coagulationDisseminated intravascular coagulation
Disseminated intravascular coagulation
 
Failure to thrive
Failure to thriveFailure to thrive
Failure to thrive
 
Pulmonary embolism
Pulmonary embolismPulmonary embolism
Pulmonary embolism
 
Pneumothorax
PneumothoraxPneumothorax
Pneumothorax
 

Recently uploaded

Seminario BioMol- Aura Cristina Peña Santos
Seminario BioMol- Aura Cristina Peña SantosSeminario BioMol- Aura Cristina Peña Santos
Seminario BioMol- Aura Cristina Peña SantosAuraCristinaPeaSanto
 
abdominal paracentesis.pdf
abdominal paracentesis.pdfabdominal paracentesis.pdf
abdominal paracentesis.pdfzeexhi1122
 
Seminario Biomol- Gwyneth Lorena Serna Salazar
Seminario Biomol- Gwyneth Lorena Serna SalazarSeminario Biomol- Gwyneth Lorena Serna Salazar
Seminario Biomol- Gwyneth Lorena Serna SalazarLorenasernasalazar
 
ROJoson PEP Talk: Cancer Surveillance after Definitive Treatment
ROJoson PEP Talk: Cancer Surveillance after Definitive TreatmentROJoson PEP Talk: Cancer Surveillance after Definitive Treatment
ROJoson PEP Talk: Cancer Surveillance after Definitive TreatmentReynaldo Joson
 
odontogenic keratocyst a developmental cyst
odontogenic keratocyst  a developmental cystodontogenic keratocyst  a developmental cyst
odontogenic keratocyst a developmental cystJani253068
 
TENNIS ELBOW (Lateral Epicondylitis).pptx
TENNIS ELBOW (Lateral Epicondylitis).pptxTENNIS ELBOW (Lateral Epicondylitis).pptx
TENNIS ELBOW (Lateral Epicondylitis).pptxAmitPrashar10
 
GLANDS IN THE SKIN,FUNCTIONS AND ABNORMALITIES ..pptx
GLANDS IN THE SKIN,FUNCTIONS AND ABNORMALITIES ..pptxGLANDS IN THE SKIN,FUNCTIONS AND ABNORMALITIES ..pptx
GLANDS IN THE SKIN,FUNCTIONS AND ABNORMALITIES ..pptxWINCY THIRUMURUGAN
 
The Natural Method That Supports Healthy Weight Loss & Steady Blood Sugar Levels
The Natural Method That Supports Healthy Weight Loss & Steady Blood Sugar LevelsThe Natural Method That Supports Healthy Weight Loss & Steady Blood Sugar Levels
The Natural Method That Supports Healthy Weight Loss & Steady Blood Sugar LevelsAman Ullah
 
Peripheral Vascular Disease (PVD): Physiotherapy assessment and management
Peripheral Vascular Disease (PVD): Physiotherapy assessment and managementPeripheral Vascular Disease (PVD): Physiotherapy assessment and management
Peripheral Vascular Disease (PVD): Physiotherapy assessment and managementTushar Sharma
 
pediatrics. epilepsy and seizures in children 8.ppt
pediatrics. epilepsy and seizures in children 8.pptpediatrics. epilepsy and seizures in children 8.ppt
pediatrics. epilepsy and seizures in children 8.pptArun170190
 
ABDULRAHMAN AL RAFIQ UPDATED MANAGEMENT OF ACUTE PULMONARY EMBOLISM .pdf
ABDULRAHMAN AL RAFIQ UPDATED MANAGEMENT OF ACUTE PULMONARY EMBOLISM .pdfABDULRAHMAN AL RAFIQ UPDATED MANAGEMENT OF ACUTE PULMONARY EMBOLISM .pdf
ABDULRAHMAN AL RAFIQ UPDATED MANAGEMENT OF ACUTE PULMONARY EMBOLISM .pdfAbdurahmanRafeeq
 
Appeptite stimulants and suppresents.pdf
Appeptite stimulants and suppresents.pdfAppeptite stimulants and suppresents.pdf
Appeptite stimulants and suppresents.pdfKoppala RVS Chaitanya
 
Introducing amazing Healthy habits and fitness
Introducing amazing Healthy habits and fitnessIntroducing amazing Healthy habits and fitness
Introducing amazing Healthy habits and fitnessFredrick Amos
 
pharmacokinetics & pharmacodynamics- seminar- magdum sir.pptx
pharmacokinetics & pharmacodynamics- seminar- magdum sir.pptxpharmacokinetics & pharmacodynamics- seminar- magdum sir.pptx
pharmacokinetics & pharmacodynamics- seminar- magdum sir.pptxsnehapachore2
 
Cell locomotion (Ameboid/ciliary/flagellar movement)
Cell locomotion (Ameboid/ciliary/flagellar movement)Cell locomotion (Ameboid/ciliary/flagellar movement)
Cell locomotion (Ameboid/ciliary/flagellar movement)MedicoseAcademics
 
Optics & Refraction-Dr.PrabhatDevkota.pptx
Optics & Refraction-Dr.PrabhatDevkota.pptxOptics & Refraction-Dr.PrabhatDevkota.pptx
Optics & Refraction-Dr.PrabhatDevkota.pptxDr. Prabhat Devkota, MD
 
Anatomy and Physiology of Optic Nerve Dr.PrabhatDevkota.pptx
Anatomy and Physiology of Optic Nerve Dr.PrabhatDevkota.pptxAnatomy and Physiology of Optic Nerve Dr.PrabhatDevkota.pptx
Anatomy and Physiology of Optic Nerve Dr.PrabhatDevkota.pptxDr. Prabhat Devkota, MD
 

Recently uploaded (20)

Respirtory stimulants.pdf
Respirtory stimulants.pdfRespirtory stimulants.pdf
Respirtory stimulants.pdf
 
Seminario BioMol- Aura Cristina Peña Santos
Seminario BioMol- Aura Cristina Peña SantosSeminario BioMol- Aura Cristina Peña Santos
Seminario BioMol- Aura Cristina Peña Santos
 
abdominal paracentesis.pdf
abdominal paracentesis.pdfabdominal paracentesis.pdf
abdominal paracentesis.pdf
 
Seminario Biomol- Gwyneth Lorena Serna Salazar
Seminario Biomol- Gwyneth Lorena Serna SalazarSeminario Biomol- Gwyneth Lorena Serna Salazar
Seminario Biomol- Gwyneth Lorena Serna Salazar
 
Nasal Decongestants.pdf
Nasal Decongestants.pdfNasal Decongestants.pdf
Nasal Decongestants.pdf
 
ROJoson PEP Talk: Cancer Surveillance after Definitive Treatment
ROJoson PEP Talk: Cancer Surveillance after Definitive TreatmentROJoson PEP Talk: Cancer Surveillance after Definitive Treatment
ROJoson PEP Talk: Cancer Surveillance after Definitive Treatment
 
odontogenic keratocyst a developmental cyst
odontogenic keratocyst  a developmental cystodontogenic keratocyst  a developmental cyst
odontogenic keratocyst a developmental cyst
 
TENNIS ELBOW (Lateral Epicondylitis).pptx
TENNIS ELBOW (Lateral Epicondylitis).pptxTENNIS ELBOW (Lateral Epicondylitis).pptx
TENNIS ELBOW (Lateral Epicondylitis).pptx
 
GLANDS IN THE SKIN,FUNCTIONS AND ABNORMALITIES ..pptx
GLANDS IN THE SKIN,FUNCTIONS AND ABNORMALITIES ..pptxGLANDS IN THE SKIN,FUNCTIONS AND ABNORMALITIES ..pptx
GLANDS IN THE SKIN,FUNCTIONS AND ABNORMALITIES ..pptx
 
The Natural Method That Supports Healthy Weight Loss & Steady Blood Sugar Levels
The Natural Method That Supports Healthy Weight Loss & Steady Blood Sugar LevelsThe Natural Method That Supports Healthy Weight Loss & Steady Blood Sugar Levels
The Natural Method That Supports Healthy Weight Loss & Steady Blood Sugar Levels
 
Peripheral Vascular Disease (PVD): Physiotherapy assessment and management
Peripheral Vascular Disease (PVD): Physiotherapy assessment and managementPeripheral Vascular Disease (PVD): Physiotherapy assessment and management
Peripheral Vascular Disease (PVD): Physiotherapy assessment and management
 
pediatrics. epilepsy and seizures in children 8.ppt
pediatrics. epilepsy and seizures in children 8.pptpediatrics. epilepsy and seizures in children 8.ppt
pediatrics. epilepsy and seizures in children 8.ppt
 
ABDULRAHMAN AL RAFIQ UPDATED MANAGEMENT OF ACUTE PULMONARY EMBOLISM .pdf
ABDULRAHMAN AL RAFIQ UPDATED MANAGEMENT OF ACUTE PULMONARY EMBOLISM .pdfABDULRAHMAN AL RAFIQ UPDATED MANAGEMENT OF ACUTE PULMONARY EMBOLISM .pdf
ABDULRAHMAN AL RAFIQ UPDATED MANAGEMENT OF ACUTE PULMONARY EMBOLISM .pdf
 
Appeptite stimulants and suppresents.pdf
Appeptite stimulants and suppresents.pdfAppeptite stimulants and suppresents.pdf
Appeptite stimulants and suppresents.pdf
 
Introducing amazing Healthy habits and fitness
Introducing amazing Healthy habits and fitnessIntroducing amazing Healthy habits and fitness
Introducing amazing Healthy habits and fitness
 
pharmacokinetics & pharmacodynamics- seminar- magdum sir.pptx
pharmacokinetics & pharmacodynamics- seminar- magdum sir.pptxpharmacokinetics & pharmacodynamics- seminar- magdum sir.pptx
pharmacokinetics & pharmacodynamics- seminar- magdum sir.pptx
 
Radiation and Spectra.pptx
Radiation and Spectra.pptxRadiation and Spectra.pptx
Radiation and Spectra.pptx
 
Cell locomotion (Ameboid/ciliary/flagellar movement)
Cell locomotion (Ameboid/ciliary/flagellar movement)Cell locomotion (Ameboid/ciliary/flagellar movement)
Cell locomotion (Ameboid/ciliary/flagellar movement)
 
Optics & Refraction-Dr.PrabhatDevkota.pptx
Optics & Refraction-Dr.PrabhatDevkota.pptxOptics & Refraction-Dr.PrabhatDevkota.pptx
Optics & Refraction-Dr.PrabhatDevkota.pptx
 
Anatomy and Physiology of Optic Nerve Dr.PrabhatDevkota.pptx
Anatomy and Physiology of Optic Nerve Dr.PrabhatDevkota.pptxAnatomy and Physiology of Optic Nerve Dr.PrabhatDevkota.pptx
Anatomy and Physiology of Optic Nerve Dr.PrabhatDevkota.pptx
 

Pleural effusion

  • 2. definition • Fluid in the pleural spaces • It can be • Blood : haemothorax • Pus : empyema • Chyle : chylothorax • Effusions (divided by protein concentration) • Transudates (<25g/L) • Exudates (>25g/L)
  • 3. causes • Transudates • Increase venous pressure • Cardiac failure • Constrictive pericarditis • Fluid overload • Hypoproteinaemia • Liver cirrhosis • Nephrotic syndrome • Hypothyroidism • Meig's syndrome (right pleural effusion and ovarian fibroma) • Exudates • Increase leakiness secondary to • Infection : pneumonia,TB • Inflammation : pulmonary infarction,RA,SLE, • Malignancy : bronchogenic ca,metastases,lymphoma,mesothelioma,lymphangitis carcinomatosis
  • 5. signs • Inspection • Aspiration marks • Palpation • Tracheal deviation • Decrease chest expansion • Tactile vocal fremitus reduced • Percussion • Stony dullness • Auscultation • Diminished breath sounds on affected side • Vocal resonance reduced • Bronchial breathing (above the effusion
  • 6. Look for signs of associated disease • Malignancy : cachexia,clubbing,lymphadenopathy,radiation marks, mastectomy scars • Chronic liver disease • Cardiac failure • Hypothyroidism • RA • SLE
  • 7. Tests • CXR • Small effusions blunt the costophrenic angles • Large effusions seen as water dense shadows with concave upper borders (meniscus sign) • Completely horizontal upper border implies pneumothorax
  • 8. tests • Ultrasound • Identifying the presence of pleural fluid • Guiding diagnostic or therapeutic aspiration
  • 9. tests • Diagnostic aspiration 1.Percuss the upper border of the pleural effusion 2.Choose 1 or 2 intercostals below (don't go too low,beware of abdomen) 3.Infiltrate down to the pleura with 5-10mL of 1% lidocaine 4.Attach a 21G needle to a syringe,and insert it just above the upper border of the rib (avoid neurovascular bundle) 5.Draw off 10-30mL of pleural fluid and send it to the lab • Clinical chemistry : protein,glucose,pH,lDH,amylase • Bacteriology : microscopy and culture,auramine stain,TB culture • Immunology : rheumatoid factor,ANA,complement
  • 10. Tests • Pleural biopsy • If pleural analysis is inconclusive • By using Abram's needle
  • 11. Management • Drainage • If symptomatic effusion (repeatedly) • Best removed slowly (≤2L/24h) • Same with diagnostic tap or using intercostal drain • Pleurodesis • Using tetracycline,bleomycin or talc • Helpful in recurrent effusion • Surgery • Persistent collections and increasing pleural thickness (on u/s)