Understanding Pleural Effusions
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- เผยแพร่เมื่อ 28 ก.ค. 2024
- This video contains a detailed and simplified explanation about pleural effusions. We discuss the pathophysiology, causes, presentation, investigations, complications and management of pleural effusions.
CORRECTION The cutoff for exudative effusions is more than 3g per dL (decilitre) rather than 3g/l as stated in the video.
More written notes and diagrams about pleural effusions are available on the website at www.zerotofinals.com/pleuraleffusion.
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DISCLAIMER: This video is for education and entertainment only, and is not medical advice. This video should NOT be used for medical advice or to guide clinical practice. The Zero to Finals content should not be used in any way to guide medical decision making. Zero to Finals takes no responsibility for any actions taken or not taken based on the information provided. Local and national guidelines and senior clinicians are there to help you make decisions, not TH-cam videos. If you need medical advice or information, seek it from an appropriately trained and licenced doctor or healthcare provider that can address your individual needs. Zero to Finals cannot guarantee the accuracy of information in this video. Please highlight any errors you notice in the comments below - thank you.
Thank you for this video, it reminded me of my experience in 2011.
I had pleural effusion and had 0.5L drained from my right lung. I was in hospital for 2 months and underwent many tests including a lung biopsy but they couldn't find root cause so said it was most likely tuberculosis (despite no symtoms) because I visited Vietnam. Told them that when I was in Vietnam, I felt intense sharp pain around my right kidney after drinking beer and thought it was somehow related. They dismissed it and proceeded to prescribe 6 months of TB medication.
During that time I didn't drink any acohol but after that, I had a shot of vodka to celebrate a friend's birthday and had the exact intense sharp pain. A colleague from work said that wheat is common in beer and vodka so I decided to try drinking wine and other non-wheat beverages and haven't had any recurrence of the pain.
I've now removed gluten from my diet as I was getting rashes and IBS whenever I ate bread/pizza/pasta/etc. Feeling much healthier now and no longer breaking out in a rash whenever I do anything strenuous - couldn't even cut the grass at one stage.
I hope someone out there might benefit from this.
This has been very helpful, I'm currently going through the same process
Can you help me bro
@@randomgamer9991 What help do you need?
@@chutam1078 is it that critical that i will need to go through a lung operation
@@randomgamer9991 I can't really comment because I'm not a doctor and it all depends on your situation. If I were in any doubt, I'd get a second or third opinion and make decision based on the risks of undergoing the procedure
all your resources are incredibly useful, I cannot thank you enough for providing such high quality content.
from a 3rd year med student
And now you’re doing a House job right 🫂
I suffered from pleural effusion when I was just 11 years old and my symptoms were high fever,loss of appetite,sharp pain in chest while jumping,laughing and deep breathing, as my pleural effusion was on my left chest doctor couldn't hear heart beat from my left chest,they told me to immediately hospitalized my self and they took the fluid out of my chest through needle tap and I was discharged by the third day and fit and fine.
How much rupees for that treatment?
@@vinotharunprakash it depends upon hospital and procedure
There are many procedure for peural effusion mine was needle tap
And yeah the hospital was quite expensive
So it cost us 20000-25000
If l am badly not feeling good the ones l was so sick and than doctors help me get better and l did not haft to pay for it so l free so what happens to me l can always get easy with no pay
And because doctor's don't wante me to die
Are u okay now?
Great video, totaly clear! Keep it up 🔥
You really helped a troubled upcoming doctor mate . Thanks a lot keep the good work, make medicine simple and fun 🙏🙏
Great to hear!
I had a right side Pleural Effusion when I was six years old, I am 16 now and though I didn't really know what was going on then, I am glad to know more about it now. I am extremely grateful for the doctor that saw the my symptoms early, so that it was all taken care of.
What was the cause of your effusion?
@@DerekTheRubbish Im not quite sure, I was only six, so I don't remember.
@@kadenmartindale5058it could be pneumonia, I had same and it has most chance of happening
I love the way these topics are explained! The visuals are really excellent and engaging. You have real talent! Xx
Thanks. I love your chicken video!
Indeed ,just like being at the Uni.
thank you for the good information Doc that would help us a lot, and to understand God bless you pls share more to inspire others
very good presentation and information about lungs as one of my relative is already facing plueral effusion and it has reoccurred and i was so much worried till now , but by this vedio its clean and clear that it is not lung cancer but it is only plueral infection.. thanks once again , it is very knowledgeable information
Could you please share the software(s) you use to produce these types of videos?
A very articulate presentation. Thank you👍
Thanks!
Thank you Sir for this valuable information.
thhank you, you explained it really simple to understand
I'm not a med student, but my grandmother passed away suddenly and this condition was the cause of her death. I have now understood it very well
Yes incredibly informative even for a layman like me, Can't thank you enough!
my mom is in the hsopital with pleural effusion, potentially caused by heart failure. Doctor told us her protein count was low, but they still suspect cancer and heart failure. this is helping me understand. She smokes, she drinks she eats horribly. While i was with her she would sneak out for cigarettes. I told the nurse they gave her patches
Thank you so much for this video!
for dyspnea can we use salmeterol fluticasone propionate in case of tubercular pleural effusion??
Thank you sir for explanation .
Please doctor my friend's lung problem last week removed water from her right lung so will get cancer?
Thank you, back in Jan I had covid and could feel hot liquid in my chest ,but a GP at the urgent care centre checked me and said he could not feel anything and said I was fine, now I had an MRI and it showed small Pleural Effusion. always believe patients when they complain of something.
Found this video informative and explained what I am experiencing
Glad to help!
Once treated and drained, what needs to be done (if anything) to monitor it in the future?
thankyou so much for this video. You made my 12 pages ppt understandable in just 7 minutes.
May i ask what you call the thing left cover the lung after draining fluid thanks
This is very helpful. Thankyou so muchhh!!!!
Help. Please explain how Rhumatoid Arthritis can cause empyema?
Recently had a plural drain associated with liver disease been put on spirolactone been throwing up after small meal is this pretty normal
Thank you for your content I found some discrepancy what was taught in my uni and this video. Meigs in my lecture notes is closed under exudative rather than transudative . Is that correct?
I had an empyema about 10 years ago due to a pneumonia on my left side. I went from feeling a little tired and having a slight pain on my left side to struggling to breathe in about 10 minutes. I dialed 911 immediately. I was misdiagnosed with a heart attack and I was hospitalized for a total of 19 days. The draining of my left lung didn't work and I eventually had a Decortication procedure. It was rough. I was told that I might need oxygen from that point on but I was fortunate enough to live without it after the first month following surgery. To this day I experience a shortness of breath especially while laying down.
I feel the same
What other symptoms did you have ?
@@spanishmontana6121 I currently have no other symptoms.
@@danielmestas7767 i meant at that time
@@danielmestas7767 do you stil drink antibiotic?
Your videos very helpful ❤️❤️❤️
Good video and clear explanation. Thank you
Thank you
Bestest ever lecture. ❤️❤️❤️❤️❤️❤️❤️❤️❤️❤️❤️❤️😍😍😍😍😍😍😍😍😍
wow, thank you!
Very helpful , thank you
What is the system of removing out of (water fluid) pleural effusion from chest or stomach ?besides may be CA in lungs if it has been not eliminated(trace out) from abdomen on time ?....dp Raahi
Can I get more information on meniscus sign ?
Nice illustration brother
my friend have already 2 months the sack and the pipe connected with the right lungs. Constantly is filling up with pus. Doctor just reapet to wait and that the pipe is not possible to remove yet But my friend is tried of it. He can not move or do any activity. Is there some vitamins or minerals which can speed up the healing of lungs? thanks
Thank u soo much this is so helpful
Thank you so much sir.
Can you infect others when you have pleural tuberculosis but you taken medications??
Thank you for this video
Hello, I'm a nursing student in a Respiratory Ward. This video helped me a lot to understand things a lot easier. I'm truly grateful for this.
Looking forward to your other educational videos.
Stay well!~
Thanks! Great to hear it helped :D
I had my aortic valve replaced in February this year and haven't been right since
My right lung was nicked during the surgery and doesn't inflate all the way
It makes me short of breath and exhausted all the time
My Pulmonologist says my lungs are fine, but it doesn't feel fine 😔
Very, very good!
by any chance do you mean 3g/dL as the threshold?
great explanations
Recently my husband detect bt infection very thicker so need operation ..after operation chance to get again infection???
What's the name of that operation
Hello ,i want to get information about plural effusion if patient have tuberculosis. It is treatable or not. How much time take to recover this problem.
Are u okay now
Perfect exept for font of the writing I prefer the big and clear one
Can you tell me how to stop this liquid with 100 percent guaranteed results as my dad has been hospitalised for the same thing and in pulmonography doctor dint find the leakage point and even tried to stick lungs and chest together but it failed and the duct has also been close so if you can help me in this case it would be a great help
How is your father now
Would these videos be enough for usmle?
Thank you!!
I love your videos; they're so helpful! But I thought Meig's syndrome was a benign ovarian fibroma rather than ovarian cancer?
Thanks! You are right actually, usually benign tumours but they can also be malignant.
Meig's syndrome is a triad of benign ovarian tumors with ascites and plearal effusion
I had this with NO symptoms until it turned into empyema. Damn near killed me. Spent 5 weeks in hospital, and the cause was never certain.
Thank you!
How many years of life expenctancy for people with this kind of desease? For 84 years old
Really Helpful😊😊👍👍
Plueral effusion tb kitna months ka course hota hai?
That is good explanation
I had this after my heart surgery due to heart inflammation. I felt pain all over my chest and stomach and went to the ER. They drained 2L of fluid from my left side and I felt better.
Now ur okay..
I had a right pleural effusion done in March this year. About 2.2lt of fluid was drained with drainage tubes after surgery as well. I have recovered but only recently found it difficult again to sneeze and breath after months of being able to do this. Has anyone else started going through pain again after being mostly healed and being able to sneeze and breath fine before?
How are you now?
I'd definitely go back to get it checked out.
Yes. It's because I have cancer. They drained so much yet it happened again
Thanks buddy!!!
Can are explain the Arthritis possible cause? I had an Empyema, they did Operation to scrape clean cavity. Im out of hospital, had drain ports. At home now I still have drainage from holes. My questions are, my ribs, chest and real painful!! To touch them. Some front ribs are completely numb too to touch. Is this normal? And should I be having so much chest and rib pains over 2 weeks after surgery? Thank you
I've had the pain a month after being drained, went back to the hospital turns out the fluid was back and had to be drained again
@@ellisamasingaDid you have surgery? Or just Tube drainage? I don't have fluid again.
Isn't Exudative >30g/L and Transudative
Yes you are right!! Someone else pointed this out. I put a correction under the video - it is 30g/L or 3g/dL. Well spotted
@@ZeroToFinals ah sorry didn't see that. Thanks very much
Keep up the good work sir ❤
U are very pretty doctor
Good Morning Everyone. I find this topic very interesting and informative ! I would like to know tho the time space of the fluid aspiration untill it reappears back?
It’s depends on the cause if it was infection and treated it will never back again until your second exposure
@@yaraalraddadi9143 Good Morning and thank you for the reply. Now I know that it may sound kinda off the social friendly pad a little but I think that what I am gonna say in continuing, hopefully with God's Will should alert lots of people around the world ! Just keep in mind tho that I have no intention whatsoever to abrupt against the prestige of profesion of any Doctor whomsoever nor to offend anyone who works in medical care World, I swear not !!! As the matter of fact, God Bless ALL Doctors and medical care assistance for along centuries they'd attributed in savings Millions of life's World wide !! Regardless of all this, all of us should remember forever that all our existence of being, achievements, experience and adventures along our lifetime is thanks to God who used our Mom and Blessed her to brought us forth on this Earth by Birth. If it wasn't for the fact whereby our parents didn't congregate passion and love to obtained us, none of us wouldn't of been here Today in existence !! all my good friends, aquintances, families and love ones working in the World of Medical Care, I wanna say that the prestige, pride, honour, loyalty of a friendship doesn't value more than the life of a human !! Now cutting to the chase; My beloved "Mom" passed away recently on Sunday August 16th, 2020 at 10:35am right in front of me at home without I could of done anything to at least try helped her out !! Just to make the story shortest as possible, she (my Mom) was at the age of 81 and were having medical health issue since beginning of July 2020. As the matter of fact, she got this (which I found out untill few days afterwards) complications called "Plural Effusion" (nothing to do with the Covid cause her test results were negative). She was passing out lots of "Mocus/Plegm" Slime by throat and Mouth and had lots of "Vocht" (it's in Dutch word here in my phrase but I believe in English language they call it Drull Liquid) in the Lungs. Lots of weird things happened for what goes the medical care and assistance onto my Mom. "House Doctor" came to visit and check out her status on Friday August 07th, 2020 and seeing that she was passing out all these thick Mocus/Plegm Slime, Doctor prescribed same as he did beginning of July, more "Noscapine" and "Flummucil". Also, on July 24th, 2020, Doctor send lab assistant to take Blood test from my Mom. Now, on same Friday August 07th, 2020, (2 weeks after) Doctor came back at home to do rutinary checked up on my Mom's medical status; sugar, pressure, heart palpitations, cardiac response, etc, etc and checked also too chest and upper back part and said tho that there were a peculiar sound within the lungs and respiratory coordination and said that it could be signs of a Lung infection and said then that during the coming week, he would be sending Mom to take out a "Echo Scopic" picture of the Lungs. Doctor remarked also onto me (son) that everything seemed to be good regarding Mom's Blood Test !! Sugar was good levelled (5.1), Blood Pressure little high but no threath cause instead giving her halve pill, would then continue now giving her one pill complete. Just to deviate a bit, my Mom was Diabetic, had little high Blood Pressure now and then, according to Doctor, at last ages got Delirium, Dementia and knee Contractions Complicatons. Returning back from deviation, Doctor continued remarking; "surprisingly for a Elderly of 81, her "Pancreas", "Liver" and "Kidneys" are functioning Optimally Good !! Just have to verify properly tho that Lung issue during the week regarding taking the picture of it. I said onto him then Great !! Next, during the time after that Friday August 07th, 2020 straight along up to Wendsday August 12th (so 5 days after Doctor's previous house visit), my Mom was passing out more and more Mocus/Plegm Slime whereby her health situation got worsened cause she couldn't of breath barely nor couldn't even swallow water, just imagine. First to call was my Mom's House Doctor who came at the house rapidly but surprisingly and even before connecting any kind of medical artefacto to verify my Mom's health status condition, said loud out; "OH, SHE'S DYING" !! Then I turned and told him; "Hey, wait a minute, how do you mean by that if 5 days before you said that everything shows good along my Mom's Blood test?" Then Doctor said; "yeah, but remember she may of have a lung infection". While at Hospital, they never had her on infuse water, nor proper equipment and we had been told that her health conditions were deteriorating, defences were running low, vital organs were shutting down respectively. To be continued cause I have to charge phone now.
Junior Rivas I am sorry for you i am waiting you tho 🙏🏻
Junior Rivas this is my email if you need any help you can send me what you want yo0ory_kh@hotmail.com
@@yaraalraddadi9143 Hi, now continuing the story of the events, I forgot to mention that on August 12th when my Mom's health condition had worsened and I had called the House Doctor and he came and said (by just only seeing her visually) that she's dying and that she had probably a lung infection etc, etc, he had rushed her then to the main Hospital were allegedly there was a Dutch Lung Specialist on duty watch who had handled my Mom (properly by the way) at the Hospital and he said that my Mom's health condition had worsened, defences dropped low, vital organs were shutting down and that she had probably 2 or 4 days left of life and that her age plays an essential role in her health deteriorating process, etc, etc. Now I just wanted to deviate for a minute here and launch the question; "But isn't it so that in a case scenario whereby someone is under going a terminal stage, Doctors wouldn't nor couldn't of seen indications in Blood test from weeks ahead?? Now I could be wrong and may God forgive me but at school education for what goes biology lesson of the human being body, we had been taught that once a person is in terminal stage phase, vital organs such as Kidneys, Liver Pancreas, Bladder (same ones occasionally the House Doctor himself had said on August 07th according to Blood test results that were functioning optimally good) starts shutting down respectively? I mean to say that is it really common that in terminal stage one of the vital organs that would or could be shutting down is or could be the kidneys whereby the pashent can't or would have complications of urinating? In my Mom's case scenario, she was urinating properly and even up to the Dutch Lung Specialist who had said that there was nothing else that could of been done to save or help my Mom, had prescribed Augmentin Antibiotic and a urinatory ketterer regardless cause accordingly the function of this medication is for my Mom to be able to urinate the Vocht, Mocus/Plegm Slime out !! Also in my Mom's eye white, had no yellow stain so I believe that the Liver was still functioning? Also, she had no skin colour changes so probably the pancreas was still functioning good? So what is or was strange about certain points here is where the House Doctor remarked at first on August 07th that everything was good in my Mom's blood test and then on August 12th (5 days after due of visual judgement) said verbally that she was dying? And then wrote on the very next day August 13th, (one day after the alleged Dutch Lung Specialist at Hospital indicated such) a finally official sporadically letter stating that him as my Mom's House Doctor, declares that my Mom is in Terminal Stage phase and that he gives her a time span of life no longer than 3 months. Now I am asking myself so be the case, how come the House Doctor didn't or couldn't say such since weeks before or at least couldn't say this since August 07th already?? Why wait until when the Dutch Lung Specialist indicated such and then finally the very following day, reinforces such statement? Now I am not discarting nor doubting in House Doctor profeshion cause he'd attended to my Mom decently and properly along 20 years and God Bless him and all Doctors but why proceed like this for? Why say Blood test shows everything is good why in reality aparantly it wasn't? To be continued, eyes getting tired of typing?
Superb .
The pleura cavity is
(1)the space between pleura and chest wall.
(2)normally contain large amount of serous fluid.
(3)with excess amount of serous fluid called pleura effusion
(4)none of the above
Choose
Thanks Dr
Doctors are suggesting my mother for this procedure just want to ask how safe is it? has any1 undergone?
chest drain?
@@hassanamrorabi7893 pleural effusion
My mother got bilobar plural effusion tonight. Can you tell me what procedures were followed in your mother’s case.
Hi guys!
My friend had fluid drained from his lungs like he explained but the third time when they did it, the fluid came out with blood.
Would appreciate if someone explain as to why the blood?
If blood is very dark then maybe it symptoms of lung cancerous cell
My dad have the same problem we just find out this cancer. How are you friend?
It a lung cancer
Thanks 🤗🤗
Very simple and understandable
Thank you! :D
In MEIG disease the ovarian tumour is benign and NOT cancer.
I had Covid in December of 2022- never got back to way I used to feel- fast forward 8 months and I awake unable to breathe - 14 days in hospital and three chest tubes and a 5 hour surgery later I am better
THANK YOU !
What s difference between pleural effusion and pulmonary edema ??
Hi Nermeen. Pleural effusion is where there is fluid in the pleural space (between the lung and the chest wall) whereas pulmonary oedema is where there is fluid inside the lung tissue (between the cells and in the alveoli). Hope that helps
😊😊@@ZeroToFinals
@@ZeroToFinals😊😊😊😊
My mom have cancer in her lungs…. From 2019 my mom has been taking chemo but there is no improvement … and now it’s getting worse… we had done X-ray and the doctor say that there is water in my mom lung but the chest doc is saying differently he feel like there is no water… my mom health is getting worse day by day … I don’t want to lose my mom .. I just need some help
My mom doctor has given some medicine to my mom ….I just want to no whether there be some improved after taking medicine and is cough good cause when ever my mom do some yoga she cough
An Ultrasound would show hiw much fluid is there annd if she needs it drained!
fabulous
Very nice
Is this what’s happening to folks with Covid pneumonia?
Thank youu ❤❤
Superb excellent
Thanks
Already It's 4 days now since my ICD tube is put, fluid is still coming, how long it 's expected to come, so far >5 lit is drained.
How are you now ?
That’s messed bro, I have a minor plural effusion in my left lung, I caused it from overextending my lungs many many times daily with a THC concentrate that I heat up on a coil. This also irritates my lungs. I hope it goes away on its own within a few days to weeks. I wish you the best of luck tho bro, your going through it
Jayalakshmi Rajagopal any updates
Detected for Ca Lung with metastasis, I have now completed 3 cycles of chemotherapy. Due for next PET & CT Scan.
Tq so much for the concern, Hope the day comes soon, telling, I'm completely alright. It's Lock down now, complete rest, I should b able to carry my routine activities without much strain. Going thru alternate horrible constipation, bad taste, so unable to eat properly, so feeling weak, scared of eating due to consti, I should get rid of all this, hair loss, skin turning v.dark
I'm gonna love your chanal :D
Thanks sir
謝謝🙏
I am wondering if I should become a lung specialist.
What do you like about the lungs?
Lung working
he didnt mention Lights criteria and the Step by Step management of pleural effusion
@Dr Safwa Hello there doctor. I would like to know what antibiotics are used to treat small pleural effusions? Please. Thank you.
thank you so much
glad to help
@@ZeroToFinals I'm 13 years old how would i get rid of that
Does it remove if you always exercise?
had 600ml fluid taken out and 8g/L protien count from LFT test
I had this in 2019... 6 liters of fluid they removed, a total of 8.5 liters... Come to find our I needed to have a pericardiectomy.
I think the triad of the Meig’s syndrome are ascites, pleural effusion and benign ovarian tumor.
My father went through thoracic surgery and never returned.
Please make videos 🙌🙏
I want you to know that I’m grateful to God for you🥺
Sir I survived TB afterwards I feel shortness of breath becouse of effusion . What to do to remove it completely
Dhiraj Bishwakarma kya howa apka treament ho gya?
Nice