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Pleural Effusion is a collection of fluid in the pleural cavity or cavity between the parietal pleura and visceral pleura, can be fluid transudates or exudates. Pathophysiology and Etiology - Transudates: An extracellular fluid that collects in the pleural lavum passively. With a specific gravity of the liquid is less than 1.015; protein in the fluid of less than 2-3 g / dl. Can occur as part of a general or edema in left heart failure. Generally the cause is: an increase in pulmonary venous pressure, hypoalbuminaemia and mediastinitis fibrosis or miksedema. - Exudate: Fluid in the pleural cavity caused by infectious diseases or neoplasms, generally protein levels> 3 g / dl, yellow or orange, with or without cells or bacteria. Generally it can be caused by inflammation, neoplasm, and abnormal lymph drainage. Clinical Symptoms Shortness of breath is the main symptom, sometimes accompanied by feelings of discomfort in the chest. When pleural fluid is low, can not be detected by clin...

Management Of pleural Effution : Pleural fluid aspiration performed, to reduce the unpleasant taste or "discomfort" and shortness of breath.  It is advisable to gradually aspirations.Fluids released between 500 - 1000 cc. When taking too many and can quickly lead to pulmonary edema . Incorporating intrapleura chemotherapy for malignancy (eg radioactive gold or Ytrium). More often performed pleurodesis in the process of malignancy or in the frequent recurrence of effusion. By using 500 mg tetracycline powder is dissolved in 50 cc of physiologic saline. Patients shake it so flat, then the liquid removed after clamped for 24 hours or given jodium powder or talc. Pain that occurs because the administration of drugs above can be overcome with the analgesic. If need be given pethidine 100 mg i.m. Provision of steroids combined with antituberculosis can absorb the pleural effusion caused by pulmonary tuberculosis quickly and reduce fibrosis. Tags :  Pleural effution ,  Pleural...