eMedicine Specialties > Emergency Medicine > Pulmonary

Pleural Effusion: Multimedia

Author: Fredrick Melik Abrahamian, DO, FACEP, Associate Professor of Medicine, University of California at Los Angeles School of Medicine; Director of Education for Emergency Medicine Residency Program, Consulting Staff, Department of Emergency Medicine, Olive View-University of California at Los Angeles Medical Center
Contributor Information and Disclosures

Updated: Jan 14, 2008

Multimedia

Anteroposterior upright chest radiograph shows bi...Media file 1: Anteroposterior upright chest radiograph shows bilateral pleural effusions and loss of bilateral costophrenic angles (meniscus sign). Image courtesy of Allen R. Thomas, MD.
Anteroposterior upright chest radiograph shows bi...

Anteroposterior upright chest radiograph shows bilateral pleural effusions and loss of bilateral costophrenic angles (meniscus sign). Image courtesy of Allen R. Thomas, MD.

Chest radiograph, lateral view shows loss of bila...Media file 2: Chest radiograph, lateral view shows loss of bilateral posterior costophrenic angles. Image courtesy of Allen R. Thomas, MD.
Chest radiograph, lateral view shows loss of bila...

Chest radiograph, lateral view shows loss of bilateral posterior costophrenic angles. Image courtesy of Allen R. Thomas, MD.

Posteroanterior upright chest radiograph shows is...Media file 3: Posteroanterior upright chest radiograph shows isolated left sided pleural effusion and loss of left lateral costophrenic angle. Image courtesy of Allen R. Thomas, MD.
Posteroanterior upright chest radiograph shows is...

Posteroanterior upright chest radiograph shows isolated left sided pleural effusion and loss of left lateral costophrenic angle. Image courtesy of Allen R. Thomas, MD.

Left lateral decubitus chest radiograph shows flu...Media file 4: Left lateral decubitus chest radiograph shows fluid layering on the left side, which is not a loculated effusion. Image courtesy of Allen R. Thomas, MD.
Left lateral decubitus chest radiograph shows flu...

Left lateral decubitus chest radiograph shows fluid layering on the left side, which is not a loculated effusion. Image courtesy of Allen R. Thomas, MD.

Anteroposterior upright chest radiograph shows a ...Media file 5: Anteroposterior upright chest radiograph shows a massive left-sided pleural effusion with contralateral mediastinal shift. Image courtesy of Allen R. Thomas, MD.
Anteroposterior upright chest radiograph shows a ...

Anteroposterior upright chest radiograph shows a massive left-sided pleural effusion with contralateral mediastinal shift. Image courtesy of Allen R. Thomas, MD.

More on Pleural Effusion

Overview: Pleural Effusion
Differential Diagnoses & Workup: Pleural Effusion
Treatment & Medication: Pleural Effusion
Follow-up: Pleural Effusion
Multimedia: Pleural Effusion
References

References

  1. Andrews CO, Gora ML. Pleural effusions: pathophysiology and management. Ann Pharmacother. Jul-Aug 1994;28(7-8):894-903. [Medline].

  2. Ashbaugh DG. Empyema thoracis. Factors influencing morbidity and mortality. Chest. May 1991;99(5):1162-5. [Medline].

  3. Barondess JA. Serous cavity effusions. In: Differential Diagnosis. 1994:558-66.

  4. Bartter T, Santarelli R, Akers SM, Pratter MR. The evaluation of pleural effusion. Chest. Oct 1994;106(4):1209-14. [Medline].

  5. Bono MJ. Pleural effusion. In: GR Schwartz, Cayten CG, et al, eds. Principles and Practice of Emergency Medicine. 1992:1500-5.

  6. Colice GL, Curtis A, Deslauriers J, et al. Medical and surgical treatment of parapneumonic effusions : an evidence-based guideline. Chest. Oct 2000;118(4):1158-71. [Medline].

  7. Dev D, Basran GS. Pleural effusion: a clinical review. Monaldi Arch Chest Dis. Feb 1994;49(1):25-35. [Medline].

  8. Fenton KN, Richardson JD. Diagnosis and management of malignant pleural effusions. Am J Surg. Jul 1995;170(1):69-74. [Medline].

  9. Harchelroad F, Jehle D. Pleural effusion. In: Kravis, TC, Warner CG, et al, eds. Emergency Medicine: A Comprehensive Review. 1993:1169-70.

  10. Jay SJ. Pleural effusions. 1. Preliminary evaluation--recognition of the transudate. Postgrad Med. Oct 1986;80(5):164-7, 170-7. [Medline].

  11. Kennedy L, Sahn SA. Noninvasive evaluation of the patient with a pleural effusion. Chest Surg Clin N Am. Aug 1994;4(3):451-65. [Medline].

  12. Kinasewitz GT, Fishman AP, Winterbauer RH, Sahn SA. Pleural dynamics and effusions; nonneoplastic pleural effusions; malignant pleural effusions. In: Fishman AP, ed. Pulmonary Diseases and Disorders. 1988:2117-70.

  13. Light RW. Pleural Diseases. 3rd ed. Williams & Wilkins; 1995.

  14. Light RW, Girard WM, Jenkinson SG. Parapneumonic effusions. Am J Med. Oct 1980;69(4):507-12. [Medline].

  15. Light RW. Pleural diseases. Dis Mon. May 1992;38(5):261-331. [Medline].

  16. Light RW, Jenkinson SG, Minh VD, George RB. Observations on pleural fluid pressures as fluid is withdrawn during thoracentesis. Am Rev Respir Dis. May 1980;121(5):799-804. [Medline].

  17. Light RW. A new classification of parapneumonic effusions and empyema. Chest. Aug 1995;108(2):299-301. [Medline].

  18. McEwen JI. Pleural effusion. In: Rosen P, Barkin RM, eds. Emergency Medicine Concepts and Clinical Practice. 1998:1521-5.

  19. Ross DS. Pleural effusion. In: Harwood-Nuss AL, Linden CH, eds. The Clinical Practice of Emergency Medicine. 1996:649-52.

  20. Sahn SA. An undiagnosed pleural effusion. Hosp Pract (Off Ed). Jun 15 1993;28(6):60-4, 67; discussion 67-8. [Medline].

  21. Sahn SA. State of the art. The pleura. Am Rev Respir Dis. Jul 1988;138(1):184-234. [Medline].

  22. Staton GW, Ingram RH. Disorders of the pleura, hila, and mediastinum. In: Dale DC, Federman DD, eds. Scientific American Medicine. 1997:1-12.

Further Reading

Keywords

pleural fluid, transudative effusion, exudative effusion, thoracentesis, congestive heart failure, bacterial pneumonia, pulmonary embolus, cirrhosis, chronic pancreatitis, collagen vascular disease, tuberculosis, yellow nail syndrome, malignant mesothelioma, rheumatoid effusions, pleural friction rub, hydrothorax, hemothorax, chylothorax, pyothorax, empyema

Contributor Information and Disclosures

Author

Fredrick Melik Abrahamian, DO, FACEP, Associate Professor of Medicine, University of California at Los Angeles School of Medicine; Director of Education for Emergency Medicine Residency Program, Consulting Staff, Department of Emergency Medicine, Olive View-University of California at Los Angeles Medical Center
Fredrick Melik Abrahamian, DO, FACEP is a member of the following medical societies: American College of Emergency Physicians, Emergency Medicine Residents Association, and Infectious Diseases Society of America
Disclosure: Nothing to disclose.

Medical Editor

Michael S Beeson, MD, MBA, FACEP, Professor of Emergency Medicine, Northeastern Ohio Universities College of Medicine; Program Director, Emergency Medicine Residency, Summa Health System
Michael S Beeson, MD, MBA, FACEP is a member of the following medical societies: American College of Emergency Physicians, Council of Emergency Medicine Residency Directors, National Association of EMS Physicians, and Society for Academic Emergency Medicine
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: Nothing to disclose.

Managing Editor

Paul Blackburn, DO, FACOEP, FACEP, Program Director, Department of Emergency Medicine, Maricopa Medical Center; Assistant Professor, Department of Surgery, University of Arizona
Paul Blackburn, DO, FACOEP, FACEP is a member of the following medical societies: American College of Emergency Physicians, American College of Osteopathic Emergency Physicians, American Medical Association, and Arizona Medical Association
Disclosure: Nothing to disclose.

CME Editor

John D Halamka, MD, MS, Associate Professor of Medicine, Harvard Medical School, Beth Israel Deaconess Medical Center; Chief Information Officer, CareGroup Healthcare System and Harvard Medical School; Attending Physician, Division of Emergency Medicine, Beth Israel Deaconess Medical Center
John D Halamka, MD, MS is a member of the following medical societies: American College of Emergency Physicians, American Medical Informatics Association, Phi Beta Kappa, and Society for Academic Emergency Medicine
Disclosure: Nothing to disclose.

Chief Editor

Robert E O'Connor, MD, MPH, Professor and Chair, Department of Emergency Medicine, University of Virginia Health System
Robert E O'Connor, MD, MPH is a member of the following medical societies: American Academy of Emergency Medicine, American College of Emergency Physicians, American College of Physician Executives, American Heart Association, American Medical Association, Medical Society of Delaware, National Association of EMS Physicians, Society for Academic Emergency Medicine, and Wilderness Medical Society
Disclosure: Nothing to disclose.

 
 
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