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Doctor insights on: Does Everyone With Pleurisy Have To Have Thoracentesis To Find A Cause

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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

Dr. David Dang
29 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


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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

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Does everyone with pleurisy have thoracentesis?

Does everyone with pleurisy have thoracentesis?

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

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Can pleurisy cause an svt?

Indirectly: Inflammation on some parts of the lung that would cause pleurisy could irritate the heart and trigger an SVT. Usually, someone would be predisposed to the SVT for this to happen, and even in this case the connection between the two would be weak. Sometimes the chest pain can come from the SVT and be attributed to pleurisy instead. Sometimes the same underlying cause leads to both. See doc. ...Read more

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Can thoracentesis cause pneumonia?

Can thoracentesis cause pneumonia?

Unlikely: That is very unlikely. A collapsed lung (pneumothorax) is the most common complication. ...Read more

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Could pleurisy cause intense chest pain?

Could pleurisy cause intense chest pain?

Yes: Pleuritis is a very common cause of chest pain. Typically you will have pain on inspiration. Usually viral in etiology and can be effectively treated with nsaids for several days. If the pain last longer than several days, get a chest x ray. Sometimes i also add a medro dose pak. ...Read more

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Will doing a lot of sports cause symptoms of pleurisy?

Will doing a lot of sports cause symptoms of pleurisy?

No, and yes.: No, because true pleurisy is an inflammation of the two linings surrounding the lungs (see prior) and sports should't cause this unless, perhaps, there is blunt trauma to the chest wall. However, the symptons of pleurisy, pain on breathing, could be caused by trauma or contusion of the chest wall or lung. Interestingly, a gas bubble caught under the diaphragm may cause pleuritic symptoms. ...Read more

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What is pleurisy?  what causes it, and what are the treatments?

Pleurisy: Pleurisy is an inflammation of the lining of the lung tissues, pleura. Some of the causes include infections (viral, bacterial, tb, fungal), autoimmune diseases, blood clots, and injuries. Treatments should be directed towards the underlying cause such as antibiotics for the bacterial infection. Nonsteroidal antiinflammatory drugs can help control the pain associated with it. ...Read more

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Dr. Nisha Surenderanath
262 doctors shared insights

Pleurisy (Definition)

Pleurisy is inflammation in the tissue that covers the lungs and chest wall. The main symptoms are chest pain associated with breathing. Treatments for pleurisy vary ...Read more