Etiological Diagnosis of Pleural Effusion by Pleural Fluid Examination
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2016, Vol 4, Issue 7
Abstract
The etiological distribution of pleural effusions in various series depends on the geographical area, patient’s age, and advances in the diagnostic methods and treatment of the underlying causes. The difficulty in determining the cause of pleural effusion is shown by the fact that in many series “unknown etiology” constitutes nearly 15%.In the west the most common cause is parapneumonic effusions followed by malignancy, while in India it is tubercular effusion followed by malignant effusion and a very few due to parapneumonic. This is an analytical interventional and prospective study done in the department of respiratory medicine, Government medical college hospital, Kota during period Oct. 2013 to Sept. 2014. On the basis of history, clinical examination and various investigation 100 study cases suggestive of pleural effusion were taken from Respiratory medicine ward. The aim of study to make etiological diagnosis of pleural effusion by pleural fluid examination. In our study, we were able to diagnose that tuberculosis was the most common cause of pleural effusion in 73%, followed by synpneumonic effusion in 9% of our study cases. Most common presenting symptoms were cough 81%, fever 74% and chest pain 61 %.The appearance of tubercular pleural fluid was straw colour in 61 (87%), while in non-tubercular fluid colour was light yellow and yellow turbid in 11(42.30%).In tubercular pleural effusion definitive etiological diagnosis was established in 9 out of 70 cases by the presence of AFB in the sputum or pleural fluid or FNAC pleura suggestive of tuberculosis. Keywords:Pleural effeusion, parapneumonic, Tuberculosis, malignant effusion
Authors and Affiliations
BabuLal Bansiwal, Anil Saxena, Maneesha Jelia, Surendra Kumar, Mukesh Kalera
Keywords
Related Articles
- EP ID EP371873
- DOI -
- Views 47
- Downloads 0
About the association of different methods of learning in the training of medical students in a Pathology Lab
Every year, we receive in our Department of Pathology 7 groups of medical students in the third year of medical study who try to achieve the educational targets specified in their portofolios. In our department, we use m...
Objective Measurement of Testicular Volume in Eastern Indian Population Using Ultrasonography and Comparison with Orchidometer Estimates
Abstract: Testicular function has a direct correlation with testicular volume. Reduction in testicular size results in disturbed spermatogenesis. Therefore, accurate measurement of testicular volume is important .The aim...
Effect of cigarettes smoking on the serum levels of calcium and phosphate in Sudanese patients with bone fracture
Smoking is a major health hazard, with detrimental effects on many organs, including skeleton. There are limited international and local data about the effect of cigarette smoking on the serum levels of calcium and phosp...
Utilization of Emergency Services of a Tertiary Care Hospital: Work Load, Time Trends, Common Diseases, Length of Stay and Admission Pattern
Abstract: The emergency department is a core clinical unit and busiest area of a hospital. The experience of patients attending emergency department significantly influences patient satisfaction and the public image of t...
Isolated Muscular Cysticercosis: A Rare Presentation of a Common Helminth
Cysticercosis is a parasitic disease caused by Taenia solium, a common public health problem in developing countries. Infection occurs due to the ingestion of raw or undercooked meat that contains the cysticercus. After...