Pleural Effusions

First Things First (assess & treat for the following)

  • Get a decubitus CXR to evaluate if fluid present.
    • >1 cm more likely to be significant
    • Determine if fluid layers (nonloculated).
  • Perform diagnostic/therapeutic thoracentesis.
    • Determine if fluid exudative or transudative.
    • Treat as appropriate.

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Last updated: May 12, 2010