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
Lining of lung: Pleuritis, or pleurisy, is an inflammation of the lining (parietal and visceral pleura) of the lung. It can result from a viral infection, which is a common cause of pleuritic chest pain in young adults. Other causes include autoimmune diseases, such as lupus or rheumatoid arthritis, and drugs that can cause a lupus-like syndrome. ...Read moreSee 1 more doctor answer
Yes: This applies to irritation of the tissues lining the lungs. There are two layers to this, with a potential space between them. When inflammation of these tissues occurs, knowing the cause is important. It can also result in inflammatory materials accumulating between the parietal and visceral plurae with resultant pleural effusion or empyema. This can be quite severe. ...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
Depends on cause: There are two layers of pleura, one layer surrounds the lung and the other covers the chest wall. There is a thin layer of fluid between the two layers so the lungs glide smoothly against the chest when breathing. Inflammation of those surfaces can cause pain and causes include infection (bacterial/viral), blood clots, post traumatic/surgery but other causes such as cancer are possible. ...Read more
See below: Pleurisy is inflammation of the lining of the lungs and chest (the pleura) that leads to chest pain (usually sharp) when you take a breath or cough. Pleurisy can cause fluid to collect inside the chest cavity. This can make breathing difficult and may cause the following symptoms: •bluish skin color (cyanosis) •coughing •shortness of breath •rapid breathing (tachypnea). ...Read more
See your doctor: Talk to your doctor. Follow his/her suggestions. ...Read more
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