Condition Info - BotMed Application

ConditionName

Pleural effusion

ConditionDescription

Excessive fluid that accumulate in the pleural space

Symptoms

SOB; Dyspnea on exertion;
Pleuritic chest pain;
Fatigue;
Weakness;

PhysicalFindings

Dullness to percussion;
Decreased breath sounds;
Decreased tactile fremitus;
Egophony (E to A changes);
Tracheal deviation away from effusion;

ClinicalTests

Pleural fluid analysis:
Glucose;
pH;
Amylase;
Triglycerides;
Cell count;
Gram stain;
Cytology;


Light’s criteria to discriminate Transudate and  Exudate Pleural effusion;

RiskFactors

IsRedFlag

IsNPLEX

Consequence

ProgressionFromCondition

Transudate:
CHF;
Nephrotic syndrome;
Cirrhosis;

Exudate: capillary permeability:
Pneumonia;
TB (unilateral);
Cancer;
Pulmonary embolism;
AB abscess;
RA;
Esophageal rapture;
Pancreatitis;
Hemothorax;

TreatmentOptions

Thoracentesis;
Chest tube;

PharmOptions

WebLink

https://www.merckmanuals.com/en-ca/professional/pulmonary-disorders/mediastinal-and-pleural-disorders/pleural-effusion | https://www.mdcalc.com/lights-criteria-exudative-effusions