Pleural effusion - Revision history

Danbot: Move calculators to own section with header (visible in TOC), expanded, before External Links

2026-03-21T15:06:53Z

Move calculators to own section with header (visible in TOC), expanded, before External Links

← Older revision		Revision as of 15:06, 21 March 2026
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	==See Also==		==See Also==
	*[[Thoracentesis]]		*[[Thoracentesis]]

			== Calculators ==
			{{Lights_Criteria_Calculator}}

	==External Links==		==External Links==
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	==References==		==References==
	<references/>		<references/>


	~~<div class="mw-collapsible mw-collapsed" style="border:1px solid #aaa; padding:5px; margin-top:10px;">~~
	~~<div style="font-weight:bold;">📊 Light's Criteria Calculator [show]</div>~~
	~~<div class="mw-collapsible-content">~~
	~~{{Lights_Criteria_Calculator}}~~
	~~</div>~~
	~~</div>~~
	[[Category:Pulmonary]]		[[Category:Pulmonary]]

Danbot: Add Light's Criteria calculator (collapsible)

2026-03-21T13:42:19Z

Add Light's Criteria calculator (collapsible)

← Older revision		Revision as of 13:42, 21 March 2026
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	<references/>		<references/>


			<div class="mw-collapsible mw-collapsed" style="border:1px solid #aaa; padding:5px; margin-top:10px;">
			<div style="font-weight:bold;">📊 Light's Criteria Calculator [show]</div>
			<div class="mw-collapsible-content">
			{{Lights_Criteria_Calculator}}
			</div>
			</div>
	[[Category:Pulmonary]]		[[Category:Pulmonary]]

Rossdonaldson1: /* Disposition */

2023-12-13T23:11:03Z

Disposition

← Older revision		Revision as of 23:11, 13 December 2023
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	==Disposition==		==Disposition==
			*All new pleural effusions of non-trace size typically require admission

	==See Also==		==See Also==

Rossdonaldson1: /* Non-infectious Effusions */

2023-12-13T23:04:11Z

Non-infectious Effusions

← Older revision		Revision as of 23:04, 13 December 2023
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	**[[Amiodarone pulmonary toxicity\|Amiodarone]]		**[[Amiodarone pulmonary toxicity\|Amiodarone]]

	==Non-infectious Effusions==		===Non-infectious Effusions===
	*Left sided > R		*Left sided > R
	**[[Aortic dissection]]		**[[Aortic dissection]]

Rossdonaldson1: /* Evaluation */

2023-12-13T23:03:04Z

Evaluation

← Older revision		Revision as of 23:03, 13 December 2023
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	[[File:CT scan revealing ipsilateral pleural effusion.jpg\|thumb\|CT scan of the chest showing right-sided pleural effusion.]]		[[File:CT scan revealing ipsilateral pleural effusion.jpg\|thumb\|CT scan of the chest showing right-sided pleural effusion.]]
	[[File:Pleural effusion 2.jpg\|thumb\|Pleural effusion on ultrasound.]]		[[File:Pleural effusion 2.jpg\|thumb\|Pleural effusion on ultrasound.]]
	===~~Detection~~===		===Work-Up===
	*[[CXR]]		*[[CXR]]
	**Earliest sign is blunting of costophrenic angle		**Earliest sign is blunting of costophrenic angle
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	***Lateral decubitus with suspected side down will show free-flowing pleural fluid		***Lateral decubitus with suspected side down will show free-flowing pleural fluid
	*CT		*CT
	*[[Lung ultrasound~~\|US~~]]		*[[Lung ultrasound]]
			*[[Thoracentesis]]
	~~===Work-Up===~~
	[[Thoracentesis]]

	===Exudative versus Transudative (Light's Criteria)===		===Diagnosis===
			====Exudative versus Transudative (Light's Criteria)====
	*If one of the following is present the fluid is virtually always an exudate		*If one of the following is present the fluid is virtually always an exudate
	*If none is present the fluid is virtually always a transudate		*If none is present the fluid is virtually always a transudate
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	**Pleural fluid LDH > two thirds of upper limit for serum LDH		**Pleural fluid LDH > two thirds of upper limit for serum LDH

	===Exudative Work-up===		====Exudative Work-up====
	*Gram stain and culture (place 10cc into blood culture bottle at the bedside)		*Gram stain and culture (place 10cc into blood culture bottle at the bedside)
	*Cell count		*Cell count

Rossdonaldson1: /* Evaluation */

2023-12-13T22:55:28Z

Evaluation

← Older revision		Revision as of 22:55, 13 December 2023
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	==Evaluation==		==Evaluation==
	[[File:Pleural effusion-Metastatic breast carcinoma Case 166 (5477628658).jpg\|thumb\|Pleural effusion on [[CXR]] (right).]]		[[File:Pleural effusion-Metastatic breast carcinoma Case 166 (5477628658).jpg\|thumb\|Pleural effusion on [[CXR]] (right).]]
			[[File:Pleural effusion - Left lung (7471755836).jpg\|thumb\|A massive left pleural effusion displacing the heart and trachea to the right.]]
	[[File:Pleural effusion CXR.jpg\|thumb\|A pleural effusion: as seen on chest X-ray. The A arrow indicates fluid layering in the right chest. The B arrow indicates the width of the right lung. The volume of the lung is reduced because of the collection of fluid around the lung.]]		[[File:Pleural effusion CXR.jpg\|thumb\|A pleural effusion: as seen on chest X-ray. The A arrow indicates fluid layering in the right chest. The B arrow indicates the width of the right lung. The volume of the lung is reduced because of the collection of fluid around the lung.]]
	[[File:CT scan revealing ipsilateral pleural effusion.jpg\|thumb\|CT scan of the chest showing right-sided pleural effusion.]]		[[File:CT scan revealing ipsilateral pleural effusion.jpg\|thumb\|CT scan of the chest showing right-sided pleural effusion.]]

Rossdonaldson1: /* Evaluation */

2023-12-13T22:53:03Z

Evaluation

← Older revision		Revision as of 22:53, 13 December 2023
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	==Evaluation==		==Evaluation==
	[[File:Pleural effusion-Metastatic breast carcinoma Case 166\|thumb\|Pleural effusion on [[CXR]] (right).]]		[[File:Pleural effusion-Metastatic breast carcinoma Case 166 (5477628658).jpg\|thumb\|Pleural effusion on [[CXR]] (right).]]
	[[File:Pleural effusion CXR.jpg\|thumb\|A pleural effusion: as seen on chest X-ray. The A arrow indicates fluid layering in the right chest. The B arrow indicates the width of the right lung. The volume of the lung is reduced because of the collection of fluid around the lung.]]		[[File:Pleural effusion CXR.jpg\|thumb\|A pleural effusion: as seen on chest X-ray. The A arrow indicates fluid layering in the right chest. The B arrow indicates the width of the right lung. The volume of the lung is reduced because of the collection of fluid around the lung.]]
	[[File:CT scan revealing ipsilateral pleural effusion.jpg\|thumb\|CT scan of the chest showing right-sided pleural effusion.]]		[[File:CT scan revealing ipsilateral pleural effusion.jpg\|thumb\|CT scan of the chest showing right-sided pleural effusion.]]

Rossdonaldson1: /* Evaluation */

2023-12-13T22:51:13Z

Evaluation

← Older revision		Revision as of 22:51, 13 December 2023
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	[[File:Pleural effusion CXR.jpg\|thumb\|A pleural effusion: as seen on chest X-ray. The A arrow indicates fluid layering in the right chest. The B arrow indicates the width of the right lung. The volume of the lung is reduced because of the collection of fluid around the lung.]]		[[File:Pleural effusion CXR.jpg\|thumb\|A pleural effusion: as seen on chest X-ray. The A arrow indicates fluid layering in the right chest. The B arrow indicates the width of the right lung. The volume of the lung is reduced because of the collection of fluid around the lung.]]
	[[File:CT scan revealing ipsilateral pleural effusion.jpg\|thumb\|CT scan of the chest showing right-sided pleural effusion.]]		[[File:CT scan revealing ipsilateral pleural effusion.jpg\|thumb\|CT scan of the chest showing right-sided pleural effusion.]]
			[[File:Pleural effusion 2.jpg\|thumb\|Pleural effusion on ultrasound.]]
	===Detection===		===Detection===
	*[[CXR]]		*[[CXR]]

Rossdonaldson1: /* Evaluation */

2023-12-13T22:48:38Z

Evaluation

← Older revision		Revision as of 22:48, 13 December 2023
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	==Evaluation==		==Evaluation==
	[[Pleural effusion-Metastatic breast carcinoma Case 166\|thumb\|Pleural effusion on [[CXR]] (right).]]		[[File:Pleural effusion-Metastatic breast carcinoma Case 166\|thumb\|Pleural effusion on [[CXR]] (right).]]
	[[File:Pleural effusion CXR.jpg\|thumb\|A pleural effusion: as seen on chest X-ray. The A arrow indicates fluid layering in the right chest. The B arrow indicates the width of the right lung. The volume of the lung is reduced because of the collection of fluid around the lung.]]		[[File:Pleural effusion CXR.jpg\|thumb\|A pleural effusion: as seen on chest X-ray. The A arrow indicates fluid layering in the right chest. The B arrow indicates the width of the right lung. The volume of the lung is reduced because of the collection of fluid around the lung.]]
			[[File:CT scan revealing ipsilateral pleural effusion.jpg\|thumb\|CT scan of the chest showing right-sided pleural effusion.]]
	===Detection===		===Detection===
	*[[CXR]]		*[[CXR]]

Rossdonaldson1: /* Evaluation */

2023-12-13T22:46:31Z

Evaluation

← Older revision		Revision as of 22:46, 13 December 2023
Line 47:		Line 47:

	==Evaluation==		==Evaluation==
			[[Pleural effusion-Metastatic breast carcinoma Case 166\|thumb\|Pleural effusion on [[CXR]] (right).]]
	[[File:Pleural effusion CXR.jpg\|thumb\|A pleural effusion: as seen on chest X-ray. The A arrow indicates fluid layering in the right chest. The B arrow indicates the width of the right lung. The volume of the lung is reduced because of the collection of fluid around the lung.]]		[[File:Pleural effusion CXR.jpg\|thumb\|A pleural effusion: as seen on chest X-ray. The A arrow indicates fluid layering in the right chest. The B arrow indicates the width of the right lung. The volume of the lung is reduced because of the collection of fluid around the lung.]]
	===Detection===		===Detection===

← Older revision		Revision as of 22:55, 13 December 2023
Line 48:		Line 48:
	==Evaluation==		==Evaluation==
	[[File:Pleural effusion-Metastatic breast carcinoma Case 166 (5477628658).jpg\|thumb\|Pleural effusion on [[CXR]] (right).]]		[[File:Pleural effusion-Metastatic breast carcinoma Case 166 (5477628658).jpg\|thumb\|Pleural effusion on [[CXR]] (right).]]
			[[File:Pleural effusion - Left lung (7471755836).jpg\|thumb\|A massive left pleural effusion displacing the heart and trachea to the right.]]
	[[File:Pleural effusion CXR.jpg\|thumb\|A pleural effusion: as seen on chest X-ray. The A arrow indicates fluid layering in the right chest. The B arrow indicates the width of the right lung. The volume of the lung is reduced because of the collection of fluid around the lung.]]		[[File:Pleural effusion CXR.jpg\|thumb\|A pleural effusion: as seen on chest X-ray. The A arrow indicates fluid layering in the right chest. The B arrow indicates the width of the right lung. The volume of the lung is reduced because of the collection of fluid around the lung.]]
	[[File:CT scan revealing ipsilateral pleural effusion.jpg\|thumb\|CT scan of the chest showing right-sided pleural effusion.]]		[[File:CT scan revealing ipsilateral pleural effusion.jpg\|thumb\|CT scan of the chest showing right-sided pleural effusion.]]