Pleural Effusion Flashcards
What is pleural effusion?
Excess fluid in the pleural space
What are the 2 main causes of fluid in the pleural space?
Failure of absorption
Overproduction
What can cause failure of absorption of pleural fluid?
Hypoproteinaemia
- cirrhosis
- nephrotic syndrome
Congestive heart failure = increased venous pressure
Lymphatic obstruction
- cancer
What can cause overproduction?
Increased capillary permeability = inflammation
- infection
- cancer
What are the symptoms of a pleural effusion?
Dyspnoea
Dry cough
Orthopnoea
What causes bilateral effusions?
Failure of absorption
What causes unilateral effusions?
Over production
How is the effusion classified?
Transudate or exudate - dependant on protein content
What criteria is used to assess protein content?
Light’s criteria