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Case of the Month - Pleural Effusions | Pt. 1

Adrien Selim, MD, Neda Frayha, MD, and Vanessa Gervais, MD
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Pleural effusions can be broken down into transudative or exudative types. Transudative are caused by dysregulation of the hydrostatic pressure, such as in CHF, or the oncotic pressure, like in cirrhosis or nephrotic syndrome. Imaging and thoracentesis are part of the management of most pleural effusions. In patients with bilateral pleural effusions that you are clinically certain is related to CHF, a trial of diuretic therapy may be warranted.

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