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

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  • čas přidán 1. 06. 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: czcams.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.

Komentáře • 114

  • @beckybarnett2066
    @beckybarnett2066 Před 6 lety +8

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

  • @rizzaruaya2322
    @rizzaruaya2322 Před 5 lety +3

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

  • @haleylonghi2848
    @haleylonghi2848 Před 5 lety +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  Před 5 lety +1

      Thank you for sharing!

  • @michellewhitcomb6646
    @michellewhitcomb6646 Před 8 lety +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  Před 8 lety

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

  • @HafizahHoshni
    @HafizahHoshni Před 4 lety +3

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

  • @mariawright5139
    @mariawright5139 Před 2 lety

    Great video, clear and concise. Thanks for sharing.

  • @sinisaass1993
    @sinisaass1993 Před 6 lety +2

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

  • @ohoudmut
    @ohoudmut Před 9 lety +7

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

    • @Medcram
      @Medcram  Před 9 lety +2

      Ahoud Mutairi thanks for the feedback

  • @zinniazamora1825
    @zinniazamora1825 Před 4 lety +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  Před 4 lety

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

  • @geojor
    @geojor Před 9 lety +6

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

  • @melindanguyen1438
    @melindanguyen1438 Před 8 lety +2

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

  • @sabasultanashaik6606
    @sabasultanashaik6606 Před 8 lety +1

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

  • @mohdrehan1909
    @mohdrehan1909 Před 5 lety

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

  • @candacemcdougle1339
    @candacemcdougle1339 Před 4 lety +5

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

    • @cuteandfluffypikachu3405
      @cuteandfluffypikachu3405 Před 3 lety

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

    • @Simple_Simi
      @Simple_Simi Před 3 lety +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!

  • @skt4007
    @skt4007 Před 9 lety +3

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

  • @selenesinguitar
    @selenesinguitar Před 9 lety +2

    Good lecture, very interesting

  • @christinesalter3061
    @christinesalter3061 Před 5 lety +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.

  • @menevamensah4664
    @menevamensah4664 Před 4 lety +1

    Thanks. great video

  • @etelvinadejesuscosta6729

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

  • @drraghbir6331
    @drraghbir6331 Před 10 lety

    great n welcome back

  • @rn2742
    @rn2742 Před 8 lety +2

    Thank u sir! from KSA

  • @jasminehipolito2128
    @jasminehipolito2128 Před 4 lety +9

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

  • @noemirios7637
    @noemirios7637 Před 8 lety +6

    that was great. thank you!!

    • @Medcram
      @Medcram  Před 8 lety +2

      +Noemi Rios Thank you for the comment

  • @drraokaleem4294
    @drraokaleem4294 Před 8 lety +1

    easy to grasp.. ty

  • @dinos7185
    @dinos7185 Před 4 lety +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!!!!

  • @genafur8
    @genafur8 Před 9 lety +1

    Thank you!

  • @rubykibuthu7698
    @rubykibuthu7698 Před 9 lety

    Thank you. ....well done

  • @HRG1402
    @HRG1402 Před 2 lety

    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??

  • @monicatorresrn
    @monicatorresrn Před 9 lety +1

    thank you!!!

  • @gamingboyharsh1924
    @gamingboyharsh1924 Před 4 lety +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 Před 3 lety

      Does it hurt? When they tap a needle

    • @gamingboyharsh1924
      @gamingboyharsh1924 Před 3 lety +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 Před 3 lety +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 Před 3 lety +1

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

  • @ypshrivastav
    @ypshrivastav Před 6 lety

    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 .

  • @erinsjourney315
    @erinsjourney315 Před 2 lety

    Brilliant!

  • @vinoddahiya1295
    @vinoddahiya1295 Před 10 lety

    Very nice video thanks sir

  • @benjaminmcpherson2131
    @benjaminmcpherson2131 Před 9 lety +12

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

  • @bindusudha5997
    @bindusudha5997 Před 6 lety

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

  • @mdshamsulhaque6134
    @mdshamsulhaque6134 Před 5 lety

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

  • @distortiontildeafness
    @distortiontildeafness Před 4 lety +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 Před 4 lety

      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.

  • @shiyamnair5976
    @shiyamnair5976 Před 4 lety

    thank u sir...

  • @susielk2626
    @susielk2626 Před 7 lety

    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 Před rokem

    So helpfull man

  • @Julieofw
    @Julieofw Před 4 lety

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

  • @davidwiley3440
    @davidwiley3440 Před 2 lety

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

  • @kennyplay5982
    @kennyplay5982 Před 2 lety

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

  • @RoyalPayne
    @RoyalPayne Před 3 lety

    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

  • @abhay3132
    @abhay3132 Před 4 lety

    What is the sleeping position in pleural effusion?

  • @stakafakt4035
    @stakafakt4035 Před 6 lety +1

    IS the needle painful and who does it?

  • @ronaldwolf2599
    @ronaldwolf2599 Před 5 lety +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 Před 3 lety

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

  • @fidahasan3132
    @fidahasan3132 Před 6 lety

    thanks

  • @twilomix
    @twilomix Před 5 lety

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

  • @ashutoshagrawal3815
    @ashutoshagrawal3815 Před 8 lety

    when can we see Unilateral pleural effusion turning into Bilateral?

  • @christopheromarvista6441
    @christopheromarvista6441 Před 4 lety +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

  • @marssoronio5528
    @marssoronio5528 Před 4 lety +1

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

    • @user-cp3wc5yj3g
      @user-cp3wc5yj3g Před 4 lety +1

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

  • @kennyplay5982
    @kennyplay5982 Před 2 lety

    How does Empyema fall into this?

  • @pasp002
    @pasp002 Před 8 lety

    cheers bro

  • @sireopossom7860
    @sireopossom7860 Před rokem

    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.

  • @behnam10
    @behnam10 Před 6 lety +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 Před 5 lety

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

    • @stingkybug7108
      @stingkybug7108 Před 5 lety

      @@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.

  • @trucknlifewithladybelle5557

    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

  • @cachemoneydotexe
    @cachemoneydotexe Před 2 lety

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

  • @dr_habs
    @dr_habs Před 7 lety

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

  • @mattbeckwith
    @mattbeckwith Před 4 lety

    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.

  • @Mony414
    @Mony414 Před 8 lety +1

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

    • @Medcram
      @Medcram  Před 7 lety +1

      We have a series on Chest X-ray: czcams.com/video/8snjqtrnV1I/video.html

  • @nazneennaeem6889
    @nazneennaeem6889 Před 3 lety

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

  • @IFYOUWANTITGOGETIT
    @IFYOUWANTITGOGETIT Před 5 lety +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.

  • @COLTxPYTHON
    @COLTxPYTHON Před 5 lety

    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?

  • @homevideos8723
    @homevideos8723 Před 4 lety

    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 Před 7 lety

    why does pleural effusion happen

  • @NAFOARMY
    @NAFOARMY Před 7 lety

    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!

  • @RandomDan69
    @RandomDan69 Před 8 lety

    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 Před 8 lety +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 Před 8 lety

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

    • @kallekantola6336
      @kallekantola6336 Před 8 lety

      Cheers, happy to be of assistance.

    • @ashish_z9
      @ashish_z9 Před 7 lety

      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?

  • @mhdanasnabulsi1033
    @mhdanasnabulsi1033 Před 6 lety +1

    we need real xray example's

  • @alexcookson5662
    @alexcookson5662 Před 4 lety

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

  • @lilm9165
    @lilm9165 Před 4 lety

    I just had one but now I can Breathe well

  • @mk-jk5lp
    @mk-jk5lp Před 7 lety +1

    Please fast forward your drawings!

  • @kennethjason7181
    @kennethjason7181 Před 7 lety

    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.

  • @danefrancis1338
    @danefrancis1338 Před 5 lety

    Whose a doctor here up for a chat

  • @rojinamanandhar9102
    @rojinamanandhar9102 Před 8 lety

    i suffered from this

    • @camillomancini5619
      @camillomancini5619 Před 8 lety +2

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

    • @rojinamanandhar9102
      @rojinamanandhar9102 Před 8 lety

      +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 Před 8 lety

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

    • @nerbnerb7398
      @nerbnerb7398 Před 4 lety

      how are you

    • @Simple_Simi
      @Simple_Simi Před 3 lety

      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 Před 8 lety

    easy to grasp.. ty

  • @vinoddahiya1295
    @vinoddahiya1295 Před 10 lety

    Very nice video thanks sir

  • @drraokaleem4294
    @drraokaleem4294 Před 8 lety

    easy to grasp.. ty