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Pleural effusions: Evaluation and management

REVIEW. JOS C. YATACO, MD RAED A. DWEIK, MD. Department of Pulmonary and Critical Care Director, Pulmonary Vascular Program, Medicine, The Cleveland Clinic Foundation Department of Pulmonary, Allergy and Critical Care Medicine, The Cleveland Clinic Foundation Pleural effusions: Evaluation and management A B S T R AC T can cause Pleural effu- M sions, including diseases ANY CONDITIONS. that are local Pleural effusions are very common, and physicians of all (in the lungs or pleura), extrapulmonic, or sys- specialties encounter them. A Pleural effusion represents temic. In many cases the cause is a chronic the disruption of the normal mechanisms of formation condition for which the patient is already and drainage of fluid from the Pleural space. A rational receiving treatment; therefore, a patient with diagnostic workup, emphasizing the most common Pleural effusion may present to a pulmonolo- causes, will reveal the etiology in most cases.

Jun 05, 2012 · upright position, this is the subpulmonic region, and accumulation of fluid causes apparent elevation of the hemithorax, lateral displacement of the dome of the diaphragm, and blunting of the costophrenic angle.6 However, at least 250 mL of fluid must accu-mulate before it becomes visible in a pos-teroanterior radiograph.

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