FAQ - pericardial effusion
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What are the risks of flying with a kid that has otitis media with effusion?


And what can you do to prevent these problems?
The kid is 1 year old and has never experimented accute otitis.
The possible OME was discovered by practicing a timpanometry.
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It's difficult to predict. Theoretically, with pressurized aircraft any pain should be minimal, but I suspect many of us have experienced intense ear pain when we flew with a head cold.

Tympanometry can be very sensitive. The question is whether the infant's eustachean tubes are open. If they are, you should have little problem. If the infant starts to fuss - typically as the plane descends - give him or her a drink from a bottle or sippy cup. Swallowing assists pressure equalization in the middle ear.

Pain is the major risk. I personally never experienced a patient with a ruptured ear drum from this, although it can happen in theory. Even then, the perforation almost always heals without intervention.  (+ info)

Physiology of the respiratory system with a patient diagnose with Pleural Effusion?


how does our respiratory system works with a patient who has pleural effusion..
and the chemical changes in the respiratory system
what changes occurs??
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It depends on the amount of fluid that interferes with the respiratory function and the underlying causes. There are various factors and diseases that can cause pleural effusion such as TB, cancer, and even a misplacement of a central line. Normally, clients tend to show clinical symptoms with the combination of underlying disease or illness.

There are few changes occur after a moderate to large pleural effusion in the respiratory system. However, a mild pleural effusion often cause no clinical symptoms and only be identified in a chest radiograph or chest CT scan.

Due to accumulation of extra amount of fluid in the pleural space, the lung can not achieve its full expansion during the inspiration which in turn causes the person to breath faster than usual. In a chronic phase, the chest wall muscles become weaker,causing further worsening of the breathing pattern. Decreased chest volume results in increased right-to left shunt , and the client may experience the symptoms of hypoxiemia.eg,confusion, agitation,poor blood gas and so on.
Hope, this helps.
Regards,  (+ info)

Can you have both transudative on one side and exudative effusion on the other.?


My father has to have both sides drained. We have the lab & the left side is transudative. Tomorrow he is having the right side drained. Could it be exudative?
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Short answer - Yes, it can be exudative.

Transudative effusions have a limited number of causes (eg. heart, liver, kidney disease), and generally occur on both sides, like in your father's case.

Exudates occur in a wide range of conditions (too wide to list!). Transudates can certainly become exudates, for example, in the presence of an infection. It is likely that your father will have transudates on both sides, but an exudate is certainly possible.  (+ info)

I need Information on Pleural Effusion case history?


If a feline has had 3 treatments of chemotherapy and a small amount fluid is still building up outside of the lung area is there any hope? My female cat is eating, playing, cleaning herself and going to the bathroom very normally but the Vet seems to think theres no hope at this point. When the fluid (pleural effusion) levels increase she has problems breathing and the Vet doesn't want to drain this fluid out anymore. The last time it was 120cc's. It's about every 25-26 days this has to be done so she can breath normally. What should I do???
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If this is a never ending procedure, then she's most likely going to slip into respiratory failure. That's an awful lot of fluid, for a cat, too!
I agree with the veterinarian; when the problem persists and this is the only solution, the chances of her becoming immonsuppressed and getting a massive infection are extremely high. Her body isn't working as it should or it would be absorbing any extra fluid that's creeping into her lung spaces. She may be in heart failure or even kidney failure, recurrent pleural effusions point in that direction.
I'm so sorry...  (+ info)

Human anatomy question dealing with possible mesothelioma, or pleural effusion?


Nicole has a respiratory infection that has caused her right pleura to dry out. Describe ther symptoms that could be related to this conditon. Obviously one would be coughing, and I would assume general discomfort, but are there other symptoms?
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Is it alright to fly with pleural effusion? I have already booked my flight for Thursday morning and didn't?


think?
I had a hospital appointment this morning and the doctor doesn't recommend flying but I have to go, I don't have much choice.
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Check with your doc. sounds like you should stay down on the ground. The air pressure changes when you fly so you could be putting yourself in grave danger of death. No plans are worth your life.  (+ info)

Does pleural effusion create pressure on the lungs?


Similar to a tension pneumothorax?
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Yes, pleural effusion creates pressure on the lungs. The pleura surrounds the lung, so filling it full of fluid (an effusion) puts pressure on the lungs and makes it difficult to get air into the lungs and also decreases the exchange of gases between blood and inhaled air.

Pleural effusion is a bear hug on your lungs.

Tension pneumothorax is different. Keep in mind normally the lungs are under LESS pressure than the atmosphere, that's why air gies into the lungs. Tension pneumo is a hole in the chest wall or lung that causes air to get into the chest cavity on one side. This means atmospheric pressure on one side of the thorax (chest cavity). It PUSHES the other lung, the mediastinum and the heart towards the other side.

Tension pneumo is a PUSH on the lungs. So it increases pressure by pushing the lung away.  (+ info)

Would a fluid restriction be good for pleural effusion?


THis is confusing me because the person may have a lot of pulmonary edema and a lot of fluid in the dependant part of the lung, yet their hypotensive because the intravasuclar fluid is now stuck in the lungs. So Im not sure if they would get a fluid restriction or not.
Any experts on this? How do you treat this?
THank
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It really depends on the cause of the effusion. If the effusion was due to CHF than yes, fluid restriction would help. If the causative agent was bacterial than no. Those are just general guidelines.
Treatment would depend , again, on the cause and the severity. It might require a chest tube be placed to drain the fluid. Sometimes just a thoracentesis will help fix the problem.
Without any more detail it's hard to say more.
But that is an excellent question.
And btw the fluid is not trapped in the intravacular spaces. Most often it is third spacing due to the high capillary pressure. Or it could be free fluid just sitting in the pleural space.
God bless.  (+ info)

Breath sounds in pleural effusion vs consolidation?


I'm hoping someone can please explain to me why pleural effusion are known to have dec breath sounds and consolidation would have inc breath sounds. i thought the fluid transmitting sound would lead to both pathologies having inc breath sounds.

thanks so much for your help.
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Breath sounds are decreased in both conditions. Vocal sounds are increased in both conditions simply because consolidation and thick fluid transmit sound better than air.Ask your patient to say 1.2.3 while you are listening to both sides, the consolidated side will be louder. Percussion is dulled with both also. Rales might be heard in pneumonia and /or wheezing but once it is fully consolidated the bs are silent although you might hear breath sounds transmitted from the upper airways.
Place both of your hands flat across the the pt's posterior lower lobes.
Ask them to take a deep breath, if one side expands more than the other you've found where the consolidation is.You can do all of this or you can just get a chest x ray.
God bless.  (+ info)

How much would an emergency pericardial drainage hurt?


  (+ info)

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