Pleural Effusion Explained Clearly - Causes, Pathophysiology, Symptoms, Treatment,

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  • Опубліковано 6 лип 2024
  • Understand pleural effusions with this clear illustration by Dr. Roger Seheult of www.medcram.com/?Y...
    Includes discussion on causes, symptoms, pathophysiology, diagnosis (including interpretation of chest x ray and differentiation from atelectasis), use of ultrasound, thoracentesis and more. This is video 1 of 3 on pleural effusion and pleural effusion treatment.
    Speaker: Roger Seheult, MD
    Clinical and Exam Preparation Instructor
    Board Certified in Internal Medicine, Pulmonary Disease, Critical Care, and Sleep Medicine.
    MedCram: Medical topics explained clearly including: Asthma, COPD, Acute Renal Failure, Mechanical Ventilation, Oxygen Hemoglobin Dissociation Curve, Hypertension, Shock, Diabetic Ketoacidosis (DKA), Medical Acid Base, VQ Mismatch, Hyponatremia, Liver Function Tests, Pulmonary Function Tests (PFTs), Adrenal Gland, Pleurisy, Radiology, Pneumonia Treatment, any many others. New topics are often added weekly- please subscribe to help support MedCram and become notified when new videos have been uploaded.
    Subscribe: ua-cam.com/users/subscription_...
    Recommended Audience: Health care professionals and medical students: including physicians, nurse practitioners, physician assistants, nurses, respiratory therapists, EMT and paramedics, and many others. Review for USMLE, MCAT, PANCE, NCLEX, NAPLEX, NDBE, RN, RT, MD, DO, PA, NP school and board examinations.
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    Produced by Kyle Allred PA-C
    Please note: MedCram medical videos, medical lectures, medical illustrations, and medical animations are for medical education and exam preparation purposes, and not intended to replace recommendations by your health care provider.

КОМЕНТАРІ • 115

  • @beckybarnett2066
    @beckybarnett2066 6 років тому +8

    I am a respiratory therapist and I love all your videos! Thanks! 😃

  • @rizzaruaya2322
    @rizzaruaya2322 5 років тому +3

    RN here- so love this lecture - simple and direct...I will be hooked for sure!

  • @michellewhitcomb6646
    @michellewhitcomb6646 8 років тому +1

    I'm a new nurse working on a clinical decision unit and I see all different kinds of diagnoses. These videos help me see the whole picture. Thank you!

    • @Medcram
      @Medcram  8 років тому

      +Shelly McLeod Good to hear! Thank you for the comment.

  • @haleylonghi2848
    @haleylonghi2848 5 років тому +4

    I'm in radiography school right now and want to advance beyond that at some point and these are great concise videos. Thank you for these, they help me so much when I study pathology. Sharing with my classmates!

    • @Medcram
      @Medcram  5 років тому +1

      Thank you for sharing!

  • @sinisaass1993
    @sinisaass1993 6 років тому +2

    med student here... i find this very usefull :)

  • @mariawright5139
    @mariawright5139 2 роки тому

    Great video, clear and concise. Thanks for sharing.

  • @ohoudmut
    @ohoudmut 9 років тому +7

    Please comeback with more fabulous session, you really make our life easier.
    Thankkk you so much.

    • @Medcram
      @Medcram  9 років тому +2

      Ahoud Mutairi thanks for the feedback

  • @HafizahHoshni
    @HafizahHoshni 4 роки тому +3

    Very beautifully and clearly explained presentation! Thank you for making me understand better! Thank you so much from Malaysia 🇲🇾 7/8/2019

  • @geojor
    @geojor 9 років тому +6

    as a layman, I enjoy these vidoes, thank you...

  • @zinniazamora1825
    @zinniazamora1825 4 роки тому +3

    Your awesome 👏🏻, thank you so much for such a great video! seen many doctors and they have never explained this to me like this ...easy and to the point 👍🏻, I’m a visual learner this is just amazing work !

    • @Medcram
      @Medcram  4 роки тому

      Glad to hear it was helpful and easy to understand. Thanks for watching!

  • @sabasultanashaik6606
    @sabasultanashaik6606 8 років тому +1

    easy to understand!! wud like to have more!👍

  • @skt4007
    @skt4007 9 років тому +3

    i really love you med cram !! i really do!

  • @melindanguyen1438
    @melindanguyen1438 8 років тому +2

    Thank you so much for explaining everything so clearly. I really appreciate it! :)

  • @selenesinguitar
    @selenesinguitar 9 років тому +2

    Good lecture, very interesting

  • @jasminehipolito2128
    @jasminehipolito2128 4 роки тому +9

    My mother was diagnosed with plueral effusion that's why I'm here to get some information.😢

  • @drraghbir6331
    @drraghbir6331 10 років тому

    great n welcome back

  • @drraokaleem4294
    @drraokaleem4294 8 років тому +1

    easy to grasp.. ty

  • @candacemcdougle1339
    @candacemcdougle1339 4 роки тому +5

    My pleurisy is in effect now... thats what brought me here...man the pain i jus want it too stop

    • @cuteandfluffypikachu3405
      @cuteandfluffypikachu3405 3 роки тому

      @Candace McDougle Hope you feel better now I’ve got this it’s the worst birthday ever 😞😞😞😞

    • @Simple_Simi
      @Simple_Simi 3 роки тому +1

      I too have been having this for 6 years on and off and my Doctors don't know what's causing it! I'm so done with the stabbing pain!

  • @rn2742
    @rn2742 8 років тому +2

    Thank u sir! from KSA

  • @noemirios7637
    @noemirios7637 8 років тому +7

    that was great. thank you!!

    • @Medcram
      @Medcram  8 років тому +2

      +Noemi Rios Thank you for the comment

  • @menevamensah4664
    @menevamensah4664 4 роки тому +1

    Thanks. great video

  • @mohdrehan1909
    @mohdrehan1909 5 років тому

    U have taught us in a very in a very interesting way.Can u please allow us to watch next videos on pleural effusion?

  • @etelvinadejesuscosta6729
    @etelvinadejesuscosta6729 6 років тому

    that was great.. thank you so much!!!

  • @genafur8
    @genafur8 10 років тому +1

    Thank you!

  • @rubykibuthu7698
    @rubykibuthu7698 10 років тому

    Thank you. ....well done

  • @christinesalter3061
    @christinesalter3061 5 років тому +2

    Thanks so much. The lecture was a great refresher course. I think it might be beneficial to tell people that the pleural effusion is present in the pleural space, the 2 layers that surround the lung and chest cavity, were a small amount of fluid exists to allow the tissue layers to slide painlessly against each other.

  • @benjaminmcpherson2131
    @benjaminmcpherson2131 9 років тому +12

    Great lecture, could you actually show real chest X-rays and how to read them

  • @dinos7185
    @dinos7185 4 роки тому +1

    Hello Medcram....could the fluid built up from cancer inside the lung and can the lung DR after
    he drains the fluid go in the cavity, and roughen up the cavity to help it stick together so fluid
    won’t build up again? Please let us know...please let us know...please let us know...PLEASE!!!!

  • @erinsjourney315
    @erinsjourney315 2 роки тому

    Brilliant!

  • @gamingboyharsh1924
    @gamingboyharsh1924 4 роки тому +6

    I suffered from pleural effusion when I was just 11 years old and my symptoms were high fever,loss of appetite,sharp pain in chest while jumping,laughing and deep breathing, as my pleural effusion was on my left chest doctor couldn't hear heart beat from my left chest,they told me to immediately hospitalized my self and they took the fluid out of my chest through needle tap and I was discharged by the third day and fit and fine.

    • @niktesla4432
      @niktesla4432 4 роки тому

      Does it hurt? When they tap a needle

    • @gamingboyharsh1924
      @gamingboyharsh1924 4 роки тому +1

      @@niktesla4432 nope! The doctor will just start asking you questions and he will try to distract you so you will not feel any pain 😉 but I've got a minor like 00.1% of pain
      So don't get panic 😉
      And important note if you have pleural effusion then immediatly rush to hospital it is not a small disease ☹️ as it was my first time to hospitalized so my parents and me were very anxious but it all done well as mentioned above

    • @niktesla4432
      @niktesla4432 4 роки тому +2

      @@gamingboyharsh1924 aight thanks bruh im just worried coz It sneeze sometimes when I breath then after I drink hot water with lemon it disappears and all good. Bte thanks for thr information bruh keep safe

    • @gamingboyharsh1924
      @gamingboyharsh1924 4 роки тому +1

      @@niktesla4432 i am not a doctor but it looks gerd but get in touch with your doctor as fast as you can

  • @distortiontildeafness
    @distortiontildeafness 4 роки тому +2

    ive had this occur randomly since i was kid.. chest pain, lower left side awlays.. i can breathe but i tend to hold my breath or shorten them because it hurts to inhale.. the deeper i inhale the worse it gets.
    I hold my breathe until it goes away it suck. happens less frequently now.. lasts about 45 sec to 3 mins or so

    • @homevideos8723
      @homevideos8723 4 роки тому

      This happens to me to, but I got it fixed to make the pain lower and when I run I don’t really breath and I get pains in my left side. Mine also happens from 1-5 minutes.

  • @monicatorresrn
    @monicatorresrn 9 років тому +1

    thank you!!!

  • @vinoddahiya1295
    @vinoddahiya1295 10 років тому

    Very nice video thanks sir

  • @HRG1402
    @HRG1402 3 роки тому

    What is the treatment for small pleural fluid remaining after thoracentesis which has thickened during TB treatment? Actually after 3 months of ATT.
    Does thickening reduce with time or is surgery (VATS) an alternative??

  • @mdshamsulhaque6134
    @mdshamsulhaque6134 6 років тому

    How to possible treatment for in this case(pleural thinking)?

  • @BrianPremo
    @BrianPremo Місяць тому

    I have alpha 1 deficiency, even though my phenotype is MZ I still get air trapping. I see a pulmonologist every 6 months. After my last lung function test he started asking a lot of questions about new or worsening symptoms (which I don’t have, at least I don’t think I do) he mentioned he wants to re test and X-ray in 3 months. When I asked why he said possible pleural effusion. I didn’t know you could tell that from a PFT. Obviously I’m worrying now.

  • @bindusudha5997
    @bindusudha5997 6 років тому

    Once treatment done, is there any chances to get it again down the line...

  • @ypshrivastav
    @ypshrivastav 6 років тому

    Thank you Dr for good knowledge.
    Can we do sucking water by machine outside lungs in case of low Ejection Fraction of heart causing water around the lungs .

  • @Julieofw
    @Julieofw 4 роки тому

    What it means by fibrolinear densities right upper lobe minimal pleural effusion thinkening bilateral doc thank you

  • @ashutoshagrawal3815
    @ashutoshagrawal3815 8 років тому

    when can we see Unilateral pleural effusion turning into Bilateral?

  • @kennyplay5982
    @kennyplay5982 2 роки тому

    I had surgery and incision is in back of right back, and the front is all numb!! Will this numbness go away?

  • @davidwiley3440
    @davidwiley3440 2 роки тому

    What happens if the fluid is not drained off....I have had four thoracentisis procedures... and doc. will probly have to do another....

  • @RoyalPayne
    @RoyalPayne 3 роки тому

    I have a vp shunt present that was placed behind the lungs and i was told i have a plueral fusion from a chest x ray

  • @stakafakt4035
    @stakafakt4035 6 років тому +1

    IS the needle painful and who does it?

  • @twilomix
    @twilomix 5 років тому

    I’ve had a chest infection for 4 weeks ... can that cause it ???

  • @sireopossom7860
    @sireopossom7860 Рік тому

    I have this pain, every time I breath I feel like a stabbing in my right lung, and some vibration with each breath like a cat purring a little bit, sleeping is the worst part, I can't lay on my bad, side or any position, if I do that, I will wake up in the middle of the night with serious pain in that area and I lose all sleep. The only position that had helped me so far with my sleep, is sleeping on my desk.
    Went to 3 doctors, one of them was a lung specialist, he told me it is infected, and that I just needed rest, gave me an anti inflammatory and pain killers to take for 1 week.. 2 weeks now, still no progress, pain is constant, can't properly sleep, i'm feeling tired all the time due to lack of sleep, and the pain is constant too.
    If anyone have any idea, please help, I am thinking of going to a 4th doctor, i'm afraid they'll just be incompetent.

  • @shiyamnair5976
    @shiyamnair5976 4 роки тому

    thank u sir...

  • @abhay3132
    @abhay3132 4 роки тому

    What is the sleeping position in pleural effusion?

  • @christopheromarvista6441
    @christopheromarvista6441 5 років тому +1

    I came here because my mom had pleural effusion and the doctors cant seem to figure out what is causing it. She doesnt have any chest pains but had edema on her feet. She had the fluid drained and biopsied but it was negative for cancer. We went back and forth to the hospital because the first catheter tube that was inserted to drain the fluid had infection so they have to remove it and insert another tube to keep draining the fluid because it just won't stop. The doctors recomend we have to undergo PET scan which is very expensive and we are already financially drained. Right now she is still carrying this catheter tube with a leg bag and the fluid is still draining around 100-200 cc everyday. Please help

  • @trucknlifewithladybelle5557
    @trucknlifewithladybelle5557 2 роки тому

    Do they give you anesthesia for this I had one about six months ago and they did not give me anything and it hurt like a witch I mean just Twistin a broom inside a cauldron of hot goo

  • @susielk2626
    @susielk2626 7 років тому

    Can you also have coughing problems symptoms. I had a terrible pain in my back, so painful I had to lay on my back for hours for the intense pain to stop. I went to the doctor a couple weeks later and he looked at me side ways. The lady checking me in had never heard of it. I had lab work done but he didn't mention my Pleural problem. Great videos , I watched all three and diagram it also . So lets see what happens next. Ultra sound I hope..

  • @amonmayoyo304
    @amonmayoyo304 Рік тому

    So helpfull man

  • @fidahasan3132
    @fidahasan3132 6 років тому

    thanks

  • @mattbeckwith
    @mattbeckwith 4 роки тому

    You talk about atelectasis and consolidation as if they were the same thing. Also, you don't mention pulmonary edema. Finally, you talk about a pleural effusion without defining what the pleura is.

  • @dr_habs
    @dr_habs 7 років тому

    where the trachea moves if pleural effusion present in both lungs??

    • @myaavalid95
      @myaavalid95 7 років тому +2

      it stays in the midline

  • @marssoronio5528
    @marssoronio5528 4 роки тому +1

    Hello sir, is plueral thickening is curable???? Thanks

    • @user-cp3wc5yj3g
      @user-cp3wc5yj3g 4 роки тому +1

      If not symptomatic do not treat. Otherwise decortication is an option.

  • @kennyplay5982
    @kennyplay5982 2 роки тому

    How does Empyema fall into this?

  • @behnam10
    @behnam10 6 років тому +3

    I have pleural Effusion and Pericarditis, IT HURTS. Doctor told me it is probably infection cusing it but they never took a sample from the fluid around my lungs!!!!

    • @BigSoul29
      @BigSoul29 5 років тому

      Are you okay now ?? I'm wondering if I might have it too. What were your symptoms ?

    • @stingkybug7108
      @stingkybug7108 5 років тому

      @@BigSoul29 I have pleural effusion like in the video said symptoms are,chest pain, difficulty to breathe. Now I'm taking antibiotics I did a lots of laboratories. But not tb.im working here in Malaysia and my parents doesn't want me to do thoracentesis procedure. Reason is some patients going thoracentesis procedure they died.

  • @pasp002
    @pasp002 8 років тому

    cheers bro

  • @cachemoneydotexe
    @cachemoneydotexe 2 роки тому

    Would another symptom be an occasional dry cough that doesn’t go away?

  • @ronaldwolf2599
    @ronaldwolf2599 5 років тому +1

    Most interesting video. I've had 2 thorsentesis, of right lung area. Had two nodules of the right lung biopseyed, and both came back negative, for cancer. Recently had anther xray, and xray showed returning of plural effusion.
    I've had irritation of the bronchial ares, and must say, that your information may be the problem.
    Now I will have to tactfully suggest this to my pulmonary doctor, (So he will discover, rather than as a result of your treatment suggestion.)
    Thanks for posting.
    Ron

    • @Simple_Simi
      @Simple_Simi 3 роки тому

      Have you resolved your pleurisy? Mine hasn't gone away!

  • @nazneennaeem6889
    @nazneennaeem6889 3 роки тому

    In this case disease can spread to others by caugh??

  • @IFYOUWANTITGOGETIT
    @IFYOUWANTITGOGETIT 5 років тому +2

    Where did you discuss treatment? Pulling out the fluid and testing it is not treatment in my mind. What if it is caused by pancreatitis? If you heal the pancreas will the fluid level stop increasing or even decrease on its own. My dog has pleural effusion. They have run multiple tests and cant find a cause.

  • @mhdanasnabulsi1033
    @mhdanasnabulsi1033 6 років тому +1

    we need real xray example's

  • @homevideos8723
    @homevideos8723 4 роки тому

    I had this when I was born, I was in the NICU for a while because of it, and later when I was 8 or 9 I had trouble breathing and my chest was hurting a lot more. I told my mom and she took me to the hospital but before we got there I passed out. Then the doctors decided to make me wait and hour.

  • @barbi3499
    @barbi3499 7 років тому

    why does pleural effusion happen

  • @Mony414
    @Mony414 8 років тому +1

    Hi! I am medical student, Can you post explain X-ray presentation

    • @Medcram
      @Medcram  8 років тому +1

      We have a series on Chest X-ray: ua-cam.com/video/8snjqtrnV1I/v-deo.html

  • @alexcookson5662
    @alexcookson5662 4 роки тому

    I get pain in my right throat and pain in my left lung and left abdomen, shiting myself now lol!!

  • @Bruchlynd.Argyle
    @Bruchlynd.Argyle 5 років тому

    I have a slight bubbling sensation or it feels like a movement of air within my chest cavity underneath my left nipple more towards my sternum. It's only noticeable at night when I'm adjusting my position in bed or bending over/exerting myself. I do experience what feels like nerve pain or bone pain in that area. I'm a smoker but I don't feel like my lung capacity has changed and I couldn't say whether or not I've been experiencing shortness of breath. Does this sound like a pleural effusion?

  • @lilm9165
    @lilm9165 5 років тому

    I just had one but now I can Breathe well

    • @lilm9165
      @lilm9165 5 років тому

      Is this bad ?

  • @NAFOARMY
    @NAFOARMY 7 років тому

    I currently have both. Also fibrosis from cvid, or granulomataous lung disease. Why is everyone so slow in my care? I just get ivig monthly and to many antibiotics. Nobody seems to be helping me really. Why? I asked if I'm gonna die soon and he wouldn't say yes or no. But point is, some people have effusion and atelectasis. Save me science! Hurry!

    • @palmettazehdeh3559
      @palmettazehdeh3559 5 років тому

      what is the nursing management of pleural effusion

    • @BigSoul29
      @BigSoul29 5 років тому

      Are you okay now ??

    • @amandag7777
      @amandag7777 5 років тому +1

      I have CVID too. Nobody understands ):

  • @RandomDan69
    @RandomDan69 8 років тому

    So basically it's not your drinking water or anything? I'm 14 and I'm worry as hell. I don't have any of the symptoms but I still think I have it. When I drink something cold I can fell something cold going towards my lungs. Should I see a doctor or what. Someone please tell me!!!

    • @kallekantola6336
      @kallekantola6336 8 років тому +1

      +MGG I don't know whether you're serious or not. In case you're really serious, the cold feeling is just the cold water going down your esophagus. If the water was going down your trachea, you would have *the worst cough fit ever* and feel like drowning. So with 99.9999999% certainty you're fine and don't need to see a doc.

    • @RandomDan69
      @RandomDan69 8 років тому

      +Kalle Kantola thank you so much I honestly forgot about it, and I thank you for making me feel better about myself

    • @kallekantola6336
      @kallekantola6336 8 років тому

      Cheers, happy to be of assistance.

    • @ashish_z9
      @ashish_z9 7 років тому

      So this day I drink water and started coughing badly. I felt that water had gone somewhere it shouldn't have gone. Now I feel like vomiting all the time, short breath and unusual burps that don't seem like they come out of my stomach. Should I be worried?

  • @kennethjason7181
    @kennethjason7181 7 років тому

    You make people more intelligent while ""FULL LEARNED DOCTORS WITH HALF KNOWLEDGE"" Does mistakes...?
    Doc Was Amazed!!! while me asking the questions precisely,
    Thank You Once Again.

  • @mk-jk5lp
    @mk-jk5lp 7 років тому +1

    Please fast forward your drawings!

  • @danefrancis1338
    @danefrancis1338 5 років тому

    Whose a doctor here up for a chat

  • @rojinamanandhar9102
    @rojinamanandhar9102 8 років тому

    i suffered from this

    • @camillomancini5619
      @camillomancini5619 8 років тому +2

      My mother is suffering from this can you pls tell me what did you do to get rid of it

    • @rojinamanandhar9102
      @rojinamanandhar9102 8 років тому

      +SANTA CLAUS first my hqlf of the fluid waa taken out then i have been taking medications it helps in reduction in medications and it really worked for me

    • @rojinamanandhar9102
      @rojinamanandhar9102 8 років тому

      +SANTA CLAUS and well i had a whole white out in my right lung

    • @nerbnerb7398
      @nerbnerb7398 4 роки тому

      how are you

    • @Simple_Simi
      @Simple_Simi 3 роки тому

      What meds cleared you up? Pls tell me. Mine is not going away! For 2 years now! I am desperate and my doctors won't help me!!

  • @drraokaleem4294
    @drraokaleem4294 8 років тому

    easy to grasp.. ty

  • @vinoddahiya1295
    @vinoddahiya1295 10 років тому

    Very nice video thanks sir

  • @drraokaleem4294
    @drraokaleem4294 8 років тому

    easy to grasp.. ty