PLEURAL EFFUSION Clinical case presentation

#ComprehensiveClinicalClass
Clinical case presentation by Dr.Aakash Kumar, Internship, SVMC, Pondicherry.
Mentor:
Dr.Rajashekhar,
MD General Medicine
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[@itsmevd9916]

Wtf guys He is presenting and answering like a 3rd YR Medicine PG Superb job bro✌️

[@drsiddharthsoniphysician]

Excellent Lecture by Rajshekhar sir and good presentation by Aakash.

[@itsmevd9916]

Trepopnea clarified after referring many sources : Dyspnea more on lying on same side - ipsilateral severe lung pathology seen (lying on same side increases perfusion due to gravity but ventilation is not increased leading to V/Q mismatch and hypoxemia and feeling of dyspnea) Dyspnea on lying on normal side - contralateral pleural effusion seen ( lying on normal side splints the normal lung between the bed and weight of the body causing dyspnea ) So,Trepopnea on Right side may be due to right sided severe lung pathology or left side pleural Effusion!

[@lightning6063]

Superb presentation Dr. Akash kumar.

[@drakbhere2treat]

Tnx

[@moulironanki4193]

Sir, can you please explain…, u have told that the only lung pathology that symptoms releives on lying on pathology side is pleural effusion and again u have also mentioned that this patient is having left sided pleuritic pain and symptoms relieving on lying on right side typical of left pleural effusion , I didn’t get it sir Can anyone clarify it please

[@dr.derbyallen7063]

Exactly I have also the same doubt.

[@sudheerkumar7450]

Same doubt

[@Little-v2x]

He is talking about breathlessness as a symptom.. If pain as a symptom then it relieves on same side of pathology.. We consider breathlessness as major symptom so we talk respect to that.. While pain is secondary symptom as per disease

[@goodvibesnerd3228]

Dd Pleural origin Pathology 1.Pleural effusion points fav of pleuritic chest pain,tightness ,stabbing in nature ,aggressive deep resp location left side ant chest ,axillary scapula side mostly Gradually prog sob Relieve on same side Treopnea def Suggest u/l Other chest Treopnea affected side lowers so normal side expands Malignancy Infection Pleurisy Hemothorax Pneumothorax r/o not acute history

[@goodvibesnerd3228]

Against Sputum Parenchymal Other asthma

[@DiSh-vh8my]

I m confused now what side lying down reliving

[@akv41av]

Wonderful lecture sir 👍👍👍🎉

[@goodvibesnerd3228]

Imp Occupation

[@rizvyrahman3837]

Amazing

[@goodvibesnerd3228]

Fever types Eponymous fever

[@goodvibesnerd3228]

Obesity paradox