Pleural effusion natural history, complications and prognosis: Difference between revisions
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==Overview== | ==Overview== | ||
==Natural History== | ==Natural History== | ||
== | ==Complications== | ||
* Only symptomatic pleural effusions or effusions larger than 50% of [[hemithorax]] require [[thoracentesis]] or [[chest tube]] drainage. | * Only symptomatic pleural effusions or effusions larger than 50% of [[hemithorax]] require [[thoracentesis]] or [[chest tube]] drainage. | ||
*A lung that is surrounded by excess fluid for a long time may be damaged. | |||
*Pleural fluid that becomes infected may turn into an [[abscess]], called an empyema, which will need to be drained with a chest tube. | |||
*[[Pneumothorax]] (air in the chest cavity) can be a complication of the thoracentesis procedure. | |||
* Most resolve spontaneously. | * Most resolve spontaneously. | ||
* [[Postcardiac injury syndrome]] (PCIS) | * [[Postcardiac injury syndrome]] (PCIS) | ||
| Line 20: | Line 23: | ||
*:*:* Variable combinations of pulmonary effusions and infiltrates. | *:*:* Variable combinations of pulmonary effusions and infiltrates. | ||
==Prognosis== | ==Prognosis== | ||
The expected outcome depends upon the underlying disease. | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
Revision as of 14:50, 24 September 2012
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Please help WikiDoc by adding more content here. It's easy! Click here to learn about editing.
Overview
Natural History
Complications
- Only symptomatic pleural effusions or effusions larger than 50% of hemithorax require thoracentesis or chest tube drainage.
- A lung that is surrounded by excess fluid for a long time may be damaged.
- Pleural fluid that becomes infected may turn into an abscess, called an empyema, which will need to be drained with a chest tube.
- Pneumothorax (air in the chest cavity) can be a complication of the thoracentesis procedure.
- Most resolve spontaneously.
- Postcardiac injury syndrome (PCIS)
- A general term for fever and pleuropericardial disease days or months after cardiac injury (myocardial infarction or surgery).
- Typically present two to three weeks post op.
- Chest pain
- Pericardial rub
- Fever
- Leukocytosis
- Elevated erythrocyte sedimentation rate (ESR)
- Variable combinations of pulmonary effusions and infiltrates.
Prognosis
The expected outcome depends upon the underlying disease.