Pleural Effusions - Causes, Diagnosis, Symptoms, Treatment

Pleural effusions illustrated by Dr. Roger Seheult of www.medcram.co... Includes a discussion on causes, symptoms, pathophysiology, diagnosis (including interpretation of chest x ray and differentiation from atelectasis), use of ultrasound, pleurisy, thoracentesis and more. This is video 1 of 3 on pleural effusion.
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Speaker: Roger Seheult, MD
Co-Founder of MedCram.com
Clinical and Exam Preparation Instructor
Board Certified in Internal Medicine, Pulmonary Disease, Critical Care, and Sleep Medicine.
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[@Medcram]

Thanks for watching video 1 of 3 on pleural effusions. Please subscribe for notifications about new MedCram videos. For the rest of this course, visit www.medcram.com/courses/pleural-effusion-explained-clearly

[@danastor3760]

When you have this but everyone says it’s covid

[@nannettebattista6224]

I have used Weed born CBD products and have healed without any problems. Now my whole family is healthy.

[@djwynny]

had this when i was first diagnosed with cancer. felt great couple days after getting it drained

[@kemaredwards7524]

I’ve got it now for like 3 weeks , I’ve had a blood test and a X-ray it all came back normal, all the doctors said is to have rest and Prescribe me some painkillers and anti inflammatory tablets , still in with my chest and back and my stomach now

[@WeaponsEducation]

In Jan. 2020 I broke my ribs on the left side via a motocross crash. I didn't think much of it. 2 weeks later I started to have shortness of breath. After an X-Ray at a walk in clinic showed a total white out I was in the hospital fast via ambulance. A pleural effusion was advanced and I lost half of my left lung. Do not take broken ribs lightly. The surgeon lied to me and said he only took out 10% of my lung, a cat scan showed 50% after I was discharged. Do not take broken ribs lightly. I had one liter of fluid taken out but it still needed to be removed.

[@hawks9939]

I woke up with a sharp pain on my right arm rn it’s okay but when I breath really hard it hurts under my right shoulder, I hope this goes away soon because I have a test coming up.

[@fromallan]

Is it normal I've been feeling the pain for 4 days now on my Left side but I'm only 15 years old? should I consult a doctor?

[@patt6850]

So much to learn, so much information, Very Informative ! Thank you !

[@howtomedicate]

Again you made me smarter! Great video, good recap 😏👍

[@Medcram]

Thanks for the nice feedback!

[@aboubakermajhoul]

has anyone felt better and actually found a cure for this? I have it and it actually sucks

[@jhomzvillanueva3115]

Informative, I have this problem my specialist doctor prescribed me 4 kinds of medicine, I'm taking up my medicine for 2 days now i feel better, after 7days i go back my doctor for follow up check up and to have a new xray. If there is no progress of fluid, there's no doubt my doctor will advise for confinement at the hospital and need to have a tube to my lungs. I'm praying that the medicine will help me to reduce the fluid. Coz I am afraid to go to the hospital at this pandemic. 😇🙏

[@jmp.t28b99]

Excellent . Thanks

[@saketg5954]

What if the Pleural effusion is on both lungs? Which side will the trachea be pushed then?

[@nancyf2665]

I had pleurisy 50 years ago in college, never had it again, but now my mother lives with me and I'm thinking she has this...she had a chest x-ray on Monday,. It was fine....

[@blakespurlock5322]

you're the man

[@EkAks]

Don’t forget a severe persistent cough in terms of symptoms.

[@apacur]

Not always..... I had a Liter of Pleural Effusion drained from my lung that had built up over 3 months--- and never once did I cough during those 3 months.... Just a really constricted feeling when breathing, shortness of breath often, and an inability to lay flat without feeling pain radiating into my shoulders

[@anthonytopalian4586]

@@apacur what was it caused from???

[@Angell-Angell]

I just had this surgery done on me almost 3-4 weeks ago they vacuum for 3-5 days straight till it was all out.. Las week x rays reveal that I'm still accumulating fluid.. And thoughts as to why this is still happening?!..

[@maryhuhnke8496]

I am experiencing the EXACT symptoms. 3 separate draining procedures totaling 2 Litres of fluid accumulation. As of Today, Doctors are "Mystified'..and baffled as to why the fluid continues to accumulate. Would be open to a dialog..

[@SuspenseESCAPEremastered]

I had NO symptoms until it turned into empyema. It took 3 hours of surgery and 5 weeks in the hospital for me to survive!

[@amalangelraj]

Where is the next video continuation? Link please

[@mohammadmashal2938]

Idk if I have this or not, but I’m experiencing a pain in my lower left lung and I can’t sleep on that side. I know it’s my lung because I can’t inhale all the way, if I do then I get this wired pain. Please let me know if you have experience whether or not o should visit the doctor or the hospital

[@gblr1812]

You can request for a chest xray

[@anthonychavez6728]

I have the same and Idk if I have it or not

[@bukomafriq]

You should definitely visit your doctor or hospital as soon as possible. Hopefully you have done that now.

[@bombblast981]

Plural fluid results are a key part of the clinical assessment, but all results must be interpreted in the context of the patient in front of you, to allow for accurate diagnosis and management, why?

[@TheSteinmetzen]

Great primary. Thanks!

[@AbdulRehmanKhan-gc2rg]

Sir i have done my chest X-ray "Right Apical Mild Shadow " show in X ray repot What's the meaning of this "Right Apical Mild Shadow"

[@markgaming5131]

I have it in my Left lung it's a minimal pleural effusion. Is there a treatment like taking a 💊?

[@Watchchannel1]

Watching from hospital 🏥 i have this problem symptoms are short breath,dry coughing,weakness,back pain, 220ml water removed some still there.

[@irvingeovany5722]

How are u feeling

[@msve3730]

I just came from the hospital of this. I was thinking it was a heart attack. They took a cat scan, x-rays and so forth but they ruled it out to pleurisy

[@LungSleep]

MedCram, this is a great explanation of pleural effusion. Your video has inspired me to put some videos on pleural effusion on my KZbin channel.

[@musto121]

Very informative, thanks. Could pleural effusion be caused by Covid vaccine? It happened to my mother together with a heart failure

[@malaysiajones4169]

That’s what caused mine

[@needcoffee1220]

Very informative! Thank youuu!

[@flip6970]

I choked on water now I’m making sure I’m not gonna die after almost dying lol

[@creepycrawler4690]

Evidently you have to compliment Med cram to get a response.

[@shahinaahmed1166]

What are the treatments

[@markczarny7088]

Ihad a drain christmas eve 23 they took away just

[@wobbly_bubbly1235]

Can someone explain I had a pleurisy for like 10 seconds

[@ImMrCsr]

Doc said this was my issue , my symptoms were pain in left side of my chest shortness of breath and left arm going numb sometimes burning was almost sure it was heart attack symptoms

[@shoppingme4743]

Hi Doc, I'm from Asia. May I ask your help please? I have loculated fluid collection in segmen 10 lung based on CT Scan result, i met general doctor, instead of Lung Doctor. I have covid 19 now and its hard to see Specialist doctor due of the protocol. I'm so sad and confused due I've read my CT scan result that there is a loculated fluid collection in segmen 10 of my lung, is it because of Covid 19 or something else? I don't have GGO. My lung clear from GGO. But there is a loculated fluid in segmen 10 and i wonder what is this? Is it because of Covid? And what should i do? Whether this fluid needs surgery? My saturation Oxygen is 98 percentage. But I have heavy cough now with sputum now, i'm using levofloxacin after azithromycin didnt work to reduce my sputum cough. I know i should meet Doctor but at least if you can help to explain it would means a lot to me. Since I can't easy to meet Specialist doctor due i still have Covid. Thank you in advance

[@smalljen2040]

I had plural effusion when I was in kidney failure before my transplant. You feel like you are drowning.

[@patrickwalker4504]

I'm suffering from cardio myopathy. This is happening to me as the results of it. I'm on diuretics but nothing is working.

[@31o._esahh]

df is this lol someone said they loss there lung to the people on the comments god is alawys with u amen

[@debjyotidutta582]

I have this but I won't do the pleural effusion or aspirations

[@johnlesterjakeomandac1862]

Doc. I got Pleuritis after I get vaccinated.

[@schnitzel438]

6:35 Yes you have VAN (vein artery nerve) under each rib, but you also have NAV *ABOVE* each rib too... Which is why we're told to intubate etc straight in the middle of the intercostal space. @MedCram can you please clarify?

[@piepie7929]

There is no (significant) Vasculature bundle above a rib. Thus you most likely puncture a nerve if you go in the middle. The right position is above the rib as he explained

[@linjapolpol4164]

Hello there medicine of the pregnant woman in this situation she had fleural effussion would you pls answer me she's 5months pregnant

[@32ahmmed]

Thx

[@BrightWays]

I think the study and experience have great differences lol I believe in experience i-e doctor not the book/study

[@GeneralSherm]

How serious is this in people 65 and older

[@rodrhodes1217]

What would be the main identifying symptoms that would differentiate pneumothorax and effusion? Both can have deviated trachea and chest pain. Would you hear rails or rhonchi with effusion?

[@Blaze-ds1fn]

I had this a couple months ago and it sucks

[@Toffeethe_Caramella]

Can you tell me how did you cure it? because my mom also has it

[@variant7228]

@@Toffeethe_Caramella same kindly tell me

[@jennyfrancisco941]

How did you get better? I'm experiencing it now.

[@jennyfrancisco941]

How did you get better? I'm experiencing it now.

[@irvingeovany5722]

Jenny Francisco what are ur symptoms

[@DK-bw4fm]

Sir,why cough in pleural effusion is dry?

[@tteokbokki4361]

Sir if fluid come again then what happened???

[@ahlennahier]

I feel it in my left lung

[@markczarny7088]

Had 5 litres 😊rem

[@Maazim12]

Thanks for your insightful information. I will visit doctor as of tommorow IA

[@vinamrajain]

Sir what if the trachea is centrally located then what would be the case

[@kevinfrancisco5016]

Then the effusion is only small/mild. The trachea will only deviate if there is already a large portion of fluid accumulates in the pleural caivity.

[@mygodmanm3008]

I don't know what is wrong with me but i can hear fluid sloshing around in my chest only on the left side of chest...help

[@indraotosuki9306]

Can u get plural effusion again after removing it

[@easytocook77]

It's called coronavirus?

[@DontEatDeadDove]

no this is something different-

[@alien-hs1zn]

Nope with COVID you lose sense smell and taste and you have muscle pain with this it’s like a sharpe pain whenever you breathe