Doctor insights on:
Does Everyone With Pleurisy Have To Have Thoracentesis
When a patient has fluid around the lungs, sometimes we need to find out what caused it, other times we want to remove the fluid so the patient can breath easier. It takes place under sterile conditions by placing a needle into the chest wall from the back and connecting the needle with a catheter to a suction bottle which collects the fluid. Fluid is ...Read more
Pleurisy, no: But pleural effusions usually should be investigated by a thoracentesis unless the cause is obviously heart failure. Even then, an initial thoracentesis should be done to confirm the cause. If you argue that not all effusions require a thoracentesis, then i need to know if you'll defend me if/when i get sued for missing an empyema or mesothelioma. ...Read more
Tincture of time +: Most cases of pleurisy are viral caused, so that time--usually under three weeks--will heal. Ice application alternating with heat may help. Analgesics such as acetaminophen, ibuprofen, naproxyn (aspirin related medication) will bring relief. If very severe--codeine. But if caused by infection, blood clot to the lung, traumatic bleeding, or immune reaction, must DX and rx specifically. ...Read more
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