The undiagnosed pleural effusion.

Abstract:

:The most common causes for undiagnosed transudative effusions are congestive heart failure and hepatic hydrothorax. Pleural fluid N terminal pro-brain natriuretic peptide levels higher than 1500 pg/mL are virtually diagnostic of congestive heart failure. The most common causes for undiagnosed exudative pleural effusions are malignancy, pulmonary embolism, and tuberculosis. Clinical characteristics of patients with a malignant pleural effusion are symptoms for more than 1 month, absence of fever, blood-tinged pleural fluid, and CT findings suggestive of malignancy. Thoracoscopy is useful to establish the diagnosis of malignancy and tuberculosis.

journal_name

Clin Chest Med

authors

Light RW

doi

10.1016/j.ccm.2005.12.002

subject

Has Abstract

pub_date

2006-06-01 00:00:00

pages

309-19

issue

2

eissn

0272-5231

issn

1557-8216

pii

S0272-5231(05)00126-7

journal_volume

27

pub_type

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