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Doctor insights on: Does Everyone With Pleurisy Have To Have Thoracentesis

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Does everyone with pleurisy have to have thoracentesis?

Does everyone with pleurisy have to have thoracentesis?

Not really: If pleurisy is associated with pleural effusion and symptoms warrant then it should be tapped. ...Read more

Dr. David Dang
33 doctors shared insights

Thoracentesis (Definition)

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


Dr. Gutti Rao Dr. Rao
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Does everyone with pleurisy have thoracentesis?

Dr. Gutti Rao Dr. Rao
1 doctor agreed:
Does everyone with pleurisy have thoracentesis?

Not necessarily: Only when large collection of fluid accumulates. ...Read more

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Does everyone with pleurisy have to have thoracentesis to find a cause?

Does everyone with pleurisy have to have thoracentesis to find a cause?

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

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How can a doctor tell I have pneumonia with not listening to my chest have no cough either?

How can a doctor tell I have pneumonia with not listening to my chest have no cough either?

Pneumonia: The diagnosis of pneumonia is typically made on the basis of symptoms (cough with mucus, fever, chest discomfort, etc), lung examination such as auscultation with a stethoscope and at times confirmed with a chest x-ray. If these were not done, consider obtaining a second opinion. ...Read more

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Have to have abdominal ct-guided biopsy. Who does that and where?

Have to have abdominal ct-guided biopsy. Who does that and where?

Several places: Usually the procedure is performed by a interventional radiologist either at the hospital or at a free standing ct center. ...Read more

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Can you have bronchitis but with no cough?Went to hospital and diagnosed with it but I hardly have a cough.Weird?

Can you have bronchitis but with no cough?Went to hospital and diagnosed with it but I hardly have a cough.Weird?

Possibly: If there is wheezing and a history consistent with bronchitis then you may have it. Probably if it is left untreated for another week or so you will develop the cough. I usually do not make the diagnosis without wheezing and cough but medicine is an "art" and we all have our own way of doing things! ...Read more

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Can you just have a lung transplant for CF or does it have to be a heart and lung transplant?

Can you just have a lung transplant for CF or does it have to be a heart and lung transplant?

CF/tx: CF patients who are not able to be managed with medical therapy can be considered for lung transplantation. The decision is complex and consists of an assessment of survival benefit as well as whether the candidate is a good patient for the lung transplantation and follow up care. ...Read more

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Can u have bronchitis with out a cough and does it cause u to have headaches?

Can u have bronchitis with out a cough and does it cause u to have headaches?

Not usually: Bronchitis, an inflammation of the bronchial tubes almost always presents with cough and sputum/phlegm production. Congestion with headache is more typical of a sinus infection. ...Read more

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Is it true that when you have a lung transplant for cystic fibrosis you have to have a heart transplant as well?

Is it true that when you have a lung transplant for cystic fibrosis you have to have a heart transplant as well?

No: Patients with cystic fibrosis often will have a double lung transplant. Heart transplant is only required if pulmonary hypertension is so severe in cystic fibrosis that it has affected the function of the heart. Thus, CF patients do not require heart transplant when they have lung transplant (the great majority of the time). ...Read more

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What is causing bullae to appear on lung, except smoking? And does someone in family need to have it previously in order for you to be born with it?

What is causing bullae to appear on lung, except smoking? And does someone in family need to have it previously in order for you to be born with it?

Various infections: Various infections and emphysema can cause bullae to develop. You sound like an informed individual, please discuss your particular case with your doctor or lung specialist . Best wishes. If you do smoke, stop. ...Read more

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Can you have an intermttant heart murmur? Some drs hear it and some don't so i never know whether to mention it. I have an autoimmune condition.

Can you have an intermttant heart murmur? Some drs hear it and some don't so i never know whether to mention it. I have an autoimmune condition.

Yes: If what you have is a benign flow murmur (innocent) then it can be intermittent. Also if you have a faint murmur then some docs may not hear it. And lastly, could be simply that some docs focus on auscultation of the heart more than others. ...Read more

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A person asked a pcp if they see lot of people with chronic pancreatitis. He said yes but most don't recognize it. What does he mean by that answer?

A person asked a pcp if they see lot of people with chronic pancreatitis. He said yes but most don't recognize it. What does he mean by that answer?

Not common: Chronic pancreatitis is not very common. He probably means that he has seen enough of them, and is familiar enough with this condition, that he feels comfortable diagnosing and treating it. ...Read more

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Do people with rhinosinusitis have to live with it forever? Or they may be permanently cured soon? I had it since 2010 and manage it with an ENT.

Do people with rhinosinusitis have to live with it forever? Or they may be permanently cured soon? I had it since 2010 and manage it with an ENT.

Sinus: Hard to say from your description. You should have a complete work up including allergy testing and a sinus CT scan. Sometimes the treatment is allergic and other times its surgery or nasal sprays and washes ...Read more

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I have asthma i usually have itchy lungs does that mean i'm about to have an a attack?

I have asthma i usually have itchy lungs does that mean i'm about to have an a attack?

?: Not quite sure about "itchy lungs". Do you mean they begin to feel tight or your throat is scratchy. Are you associating this feeling with an allergy you have (cats, dogs, etc) that makes your skin itchy and then you may have an attack? ...Read more

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I have been dx w scleredema. Does anyone know of a doctor close to Seattle that treats scleredema. .not scleroderma.

I have been dx w scleredema.  Does anyone know of a doctor close to Seattle that treats scleredema. .not scleroderma.

Rare disease: whose origins can relate to diabetes, infection, or rheumatic disease. Clearly you have a physician treating you for psoriatic arthritis, are on several meds and have some sensitivity to medications, so you need to be very careful. Ask the physician who is already treating you/or who made the diagnosis, how to find the right physician. In Seattle, there might be a referral service from Swedish. ...Read more

Dr. Nisha Surenderanath
278 doctors shared insights

Pleurisy (Definition)

A condition where the lining of the lungs and ...Read more