Clinical Case Database / Category: Clinical Care

Disorders of the pleura

Publication details

PA Reid, PT Reid
Foundation Years Journal, volume 5, issue 9, p.22 (123Doc Education, London, October 2011)

Abstract

Diseases affecting the pleura represent challenges to both acute/general physicians and respiratory specialists alike. The presentation occurs in the young and old, the previously healthy and those with chronic illness. Pleural disease can reflect terminal illness or acute reversible pathology. Using a case based discussion approach this article looks at three common presentations of pleural disease; unilateral pleural effusion, pleural infection and pneumothorax.

Access the Clinical Cases Database

A subscription is required to read the full article. Please subscribe using one of the options below.

Authors

PA Reid

-

PT Reid

-

References

1. Blackmore CC, Black WC, Dallas RV, et al. Pleural fluid volume estimation: a chest radiograph prediction rule. Acad Radiol 1996; 3: 103-9.
2. O'Moore PV, Mueller PR, Simeone JF, et al. Sonographic guidance in diagnostic and therapeutic interventions in the pleural space. AJR Am J Roentgenol 1987; 149: 1e5.
3. Raptopoulos V, Davis LM, Lee G, et al. Factors affecting the development of pneumothorax associated with thoracoentesis. AJR Am J Roentgenol 1990; 156: 917-20.
4. Hooper C, Lee YCG, Maskell N. Investigation of a unilateral pleural effusion in adults: British Thoracic Society pleural disease guideline 2010. Thorax 2010; 65 (suppl 2): ii4-ii17.
5. Garcia L. The value of multiple fluid specimins in the cytological diagnosis of malignancy. Mod Pathol 1994; 7: 665-8.
6. Tomlinson JR. Invasive procedures in the diagnosis of pleural disease. Semin Respir Med 1987; 9:30-60.
7. Roberts ME, Neville E, Berrisford RG, Antunes G, Ali NJ. Management of a malignant pleural effusion: British Thoracic Society pleural disease guideline 2010. Thorax 2010; 65(suppl 2): ii32-ii40.
8. Alder RH, Sayek I. Treatment of malignant pleural effusion: a method using tube thoracostomy and talc. Ann Thorac Surg 1976; 22: 8-15.
9. Caglayan B, Torun E, Turan D et al. Efficiency of iodopovidone pleurodesis and comparison of small-bore catheter versus large-bore chest tube. Ann Surg Oncol 2008;15: 2594-9.
10. Chalmers JD, Singanayagam A, Murray MP,et al. Risk factors for complicated parapneumonic effusion and empyema on presentation to hospital with community acquired pneumonia. Thorax 2009; 64: 556-8.
11. Davies HE, Davies RJ, Davies CWH. Management of pleural infection in adults: British Thoracic Society pleural disease guideline 2010. Thorax 2010; 65(suppl 2):ii41-ii53.
12. Maskell NA, Batt S, Hedley EL, et al. The bacteriology of pleural infection by genetic and standard methods and its mortality significance. Am J Respir Crit Care Med 2006; 174: 817-23.
13. Davies CW, Kearney SE, Gleeson FV, et al. Predictors of outcome and long-term survival in patients with pleural infection. Am J Respir Crit Care Med 1999;160:. 1682-7.
14. Good JT Jr, Taryle DA, Maulitz RM, et al. The diagnostic value of pleural fluid pH. Chest 1980;78:55-9.
15. Maskell NA, Davies CW, Nunn AJ et al. U.K. Controlled trial of intrapleural Streptokinase for pleural infection. N Engl J Med 2005; 352: 865-74.
16. Withers JN, Fishback ME, Kiehl PV, et al. Spontaneous pneumothorax. Am J Surg 1964;108:772-6.
17. Donahue DM, Wright CD, Viale G, et al. Resection of pulmonary blebs and
pleurodesis for spontaneous pneumothorax. Chest 1993;104:1767-9.
18. Bense L, Eklund G, Odont D, et al. Smoking and the increased risk of contracting pneumothorax. Chest 1987;92:1009-12.
19. MacDuff A, Arnold A, Harvey J. Management of spontaneous pneumothorax: British Thoracic Society pleural disease guideline 2010. Thorax 2010;65 (suppl 2):ii18-ii31.
20. Soulsby T. British Thoracic Society guidelines for the management of Spontaneous pneumothorax: do we comply with them and do they work? J Accid. Emerg Med 1998;15:317-21
21. Reinhold C, Illescas FF, Atri M, et al. Treatment of pleural effusions and pneumothorax with catheters placed percutaneously under imaging guidance. AJR 1989; 152:1189-91.
22. Northfield TC. Oxygen therapy for spontaneous pneumothorax. BMJ 1971; 4:86-88.
23. Pneumothorax. In: Chapman S, Robinson G, Stradling J, West S. Oxford Handbook of Respiratory Medicine 1st edn. New York; Oxford University Press 2005; 287-297.
24. British Thoracic Society Standards of Care Committee. Managing passengers respiratory disease planning air travel: British Thoracic Society recommendations.Thorax 2002; 57:289-304.

Disclaimers

Conflict Of Interest

The Journal requires that authors disclose any potential conflict of interest that they may have. This is clearly stated in the Journal’s published “Guidelines for Authors”. The Journal follows the Guidelines against Conflict of Interest published in the Uniform Requirements for Manuscripts Submitted to Biomedical Journals (http://www.icmje.org/urm_full.pdf).

Financial Statement

The authors of this article have not been paid. The Journal is financed by subscriptions and advertising. The Journal does not receive money from any other sources. The decision to accept or refuse this article for publication was free from financial considerations and was solely the responsibility of the Editorial Panel and Editor-in-Chief.

Patient Consent statement

All pictures and investigations shown in this article are shown with the patients’ consent. We require Authors to maintain patients’ anonymity and to obtain consent to report investigations and pictures involving human subjects when anonymity may be compromised. The Journal follows the Guidelines of the Uniform Requirements for Manuscripts (http://www.icmje.org/urm_full.pdf). The Journal requires in its Guidelines for Authors a statement from Authors that “the subject gave informed consent”.

Animal & Human Rights

When reporting experiments on human subjects, the Journal requires authors to indicate whether the procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the HelsinkiDeclaration of 1975, as revised in 2008.

About the Clinical Cases Database

T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

The database is fully searchable, or can be browsed by medical specialty. Abstracts can be read free of charge, however a subscription is required in order to read the complete cases.