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Evaluation of the patient with pleural effusion
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Evaluation of the patient with pleural effusion
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Journal Article
Evaluation of the patient with pleural effusion
2018
Overview
Beaudoin and Gonzalez cite that gathering of initial clinical data guided by the differential diagnosis can orient care by identifying patients in need of urgent evaluation and by highlighting possible etiologies. The initial assessment of the patient with a pleural effusion should include an ultrasonography-guided thoracentesis to categorize the effusion as a transudate or an exudate, and obtain specimens for microbiology and cytology. If a parapneumonic effusion is suspected, a diagnostic aspiration must be promptly performed to identify patients with a complicated effusion that requires drainage. Because the initial assessment with a thoracentesis and a computed tomographic scan cannot rule out malignant disease or tuberculosis, a pleural biopsy is indicated for recurrent, undiagnosed exudative effusions.
Publisher
Elsevier Inc,CMA Impact Inc,Joule Inc,CMA Impact, Inc
