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Let's shine a Light on Pleural Effusions 💡🫁 🔍 Step 1: Clinical signs — dull to percussion, ↓ breath sounds, ↓ fremitus 🩻 Step 2: CXR — blunted costophrenic angles 💉 Step 3: Thoracentesis — run the numbers: Exudate if ANY of these: 🧪 Pleural/Serum Protein > 0.5 🧪 Pleural/Serum LDH > 0.6 🧪 Pleural LDH > 2/3 ULN 🟥 Exudate = Leaky (Infection, Malignancy, PE, Autoimmune) 🟦 Transudate = Pressure (CHF, Cirrhosis, Nephrotic) #drhavicandbrody #medstudent #medshool #medicalstudent #medicalschool
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