Diagnostic presentations of different pleural effusion patients to a tertiary care centre
A descriptive cross-sectional study
Keywords:
pleural effusion, tubercularAbstract
BACKGROUND-Pleural effusion is defined as collection of fluid between the two pleural covering. OBJECTIVE-To evaluate the different etiologies of pleural effusion according to laboratory report. METHODOLOGY-Data was collected in a nonprobability convenience technique with descriptive cross- sectional study in indoor patient of pulmonary medicine department of Balangir Bhima Bhoi medical college from 2017 nov to 2020 nov,202 patients included in this technique.Diagnosis was confirmed by chest -x-Ray, and USG Chest in some cases, .Pleural fluid is aspirated from all and analysed with necessary investigation carried out ,like pleural fluid cytology, Biochemical and culture .computed tomography ,echocardiography and connective tissue profile for evaluating the underlying cause of pleural effusion. RESULT- Out of 202 patients 145 (73%) were male and 57(26)% were female Mean age was 44.8years with 19,832 SD .Among patients of pleural effusion most common cause was tuberculosis (65.3%). followed by Para pneumonic effusion/empyema (11.4%), malignancy both metastatic and primary accounted for (15%), heart failure also showed its presence in 5% of cases. Connective tissue disorder was found to be the cause in only one case (0.5%). In one case (0.5%) pleural effusion remained undiagnosed.
Downloads
References
Abbas SA, Bajwa M, Ahmed Z. Etiologies of Unilateral Pleural Effusion and Complications of intercostal drains. Pak J Chest Med 2017; 23(1): 08- 14
al-Qorain A, Larbi EB, al-Muhanna F, Satti MB, Baloush A, Falha K, et al. Pattern of pleural effusion in eastern province of Saudi Arabia: A prospective study. East Afr Med J 1994;71:246-9.
Anthony Seaton: Crofton and Douglas's Respiratory Disease 5th edition. 2008;43:1152-80.
Bhatnagar R, Maskell N. The modern diagnosis and management of pleural effsions. BMJ 2015; 351: h4520.
Chernow B, Sahn SA. Carcinomatous involvement of pleura. Am J Med 1977;63:695-702. 20. Reddy DJ, Indira C. Needle biopsy of the parietal pleura in the aetiological diagnosis of pleural effusion. J Indian Med Assoc 1963;40:6-11.
Gandamayu, I. B. M., Antari, N. W. S., & Strisanti, I. A. S. (2022). The level of community compliance in implementing health protocols to prevent the spread of COVID-19. International Journal of Health & Medical Sciences, 5(2), 177-182. https://doi.org/10.21744/ijhms.v5n2.1897
Harrison's principles of Internal Medicine 16th edition. 2004;245:1565-9.
Jindal SK. Textbook of Pulmonary and Critical Care Medicine. 1 st ed., Vol. 2. New Delhi: Jaypee Brothers Medical Publishers (P) Ltd.; 2011.
Light RW, Ball CW, Erozan YS. Cells in pleura fluid: Their value in differential diagnosis. Arch Intern Med 1973;132:854-60.
Light RW. Clinical manifestations and useful tests. In: Pleural Diseases. 6th ed. Baltimore: Williams & Wilkins; 2013. p.86-127.
Light RW. Clinical practice. Pleural effusion. N Engl J Med 2002;346:1971-7.
Light RW. The undiagnosed pleural effsion. Clin Chest Med 2006; 27: 309–319
Light RW. Update on tuberculous pleural effusion. Respirology 2010;15:451-8.10.
Marel M, Stastny B, Melínová L, Svandová E, Light RW. Diagnosis of pleural effusions. Experience with clinical studies, 1986 to 1990. Chest 1995;107:1598- 603.
Porcel JM. Pearls and myths in pleural flid analysis. Respirology 2011; 16: 44–52.
Sharma SK, Suresh V, Mohan A, Kaur P, Saha P, Kumar A, et al. A prospective study of sensitivity and specificity of adenosinedeaminase estimation in the diagnosis of tuberculosis pleural effusion. Indian J Chest Dis Allied Sci 2001;43:149-55.
Tandon RK, Mishra SR. Pleural biopsy: Analysis of 81 cases. Ind J Tubercul 1975;22:18.
Tandon RK, Mishra SR. Pleural biopsy: Analysis of 81 cases. Ind J Tubercul 1975;22:18.
Valdes L, Alvarez D, Valle JM, Pose A, San Jose E. The etiology of pleural effusions in an area with high incidence of tuberculosis. Chest Journal 1996; 109(1):158–162
Valdés L, Alvarez D, Valle JM, Pose A, San José E. The etiology of pleural effusions in an area with high incidence of tuberculosis. Chest 1996;109:158-62.
Widana, I.K., Sumetri, N.W., Sutapa, I.K., Suryasa, W. (2021). Anthropometric measures for better cardiovascular and musculoskeletal health. Computer Applications in Engineering Education, 29(3), 550–561. https://doi.org/10.1002/cae.22202
Published
How to Cite
Issue
Section
Copyright (c) 2022 International journal of health sciences
![Creative Commons License](http://i.creativecommons.org/l/by-nc-nd/4.0/88x31.png)
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Articles published in the International Journal of Health Sciences (IJHS) are available under Creative Commons Attribution Non-Commercial No Derivatives Licence (CC BY-NC-ND 4.0). Authors retain copyright in their work and grant IJHS right of first publication under CC BY-NC-ND 4.0. Users have the right to read, download, copy, distribute, print, search, or link to the full texts of articles in this journal, and to use them for any other lawful purpose.
Articles published in IJHS can be copied, communicated and shared in their published form for non-commercial purposes provided full attribution is given to the author and the journal. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
This copyright notice applies to articles published in IJHS volumes 4 onwards. Please read about the copyright notices for previous volumes under Journal History.