 | Pericardial Effusion versus Pleural Effusion Usually pericardial effusion(PE) is not found behind the left atrium,because the pericardial attachments are refleted onto the pulmonary veins.Somtimes,PE can be visualized in the oblique sinus,which is located behind the LA. A PE is anterior to the descending aorta,whereas a pleural effusion(PL) is posterior to the aorta. |
 | Tapping of recurrent pleural effusion - Dr Sanuudayan Tapping of recurrent chylous effusion of unknown etiology in VSM hospital Mavelikara |
 | BHC Nurses Pleural Effusions Teaching Video BHC Oncology nurses teaching video on pleural effusions |
 | Rt Pleural Effusion? Effusion or artifact? |
 | UNUSUAL PERICARDIAL EFFUSION ON ECHOCARDIOGRAM This loculated pericardial effusion is causing a unusual localized compression on the LV. Also a mass like structure is seen within the effusion. A large pleural effusion is also seen (largest area of black) |
 | Puncion Pleural Tecnica sencilla para la obtención de muestras en el derrame pleural |
 | Respiratory system, X ray chest, Pneumonia This video shows how pleural effusion is shown on xray. |
 | Leukemia Risk with Intra-Articular Use of Phosphocol P 32 (Dec. 2008) Covidien and Mallinckrodt, the manufacturers of Phosphocol P 32, have informed healthcare professionals that this drug may increase the risk of leukemia in certain situations. Phosphocol P 32 is used to treat peritoneal or pleural effusions in patients with metastatic cancer. It is instilled into the peritoneal or pleural cavities, where it locally irradiates tissues. The manufacturers report that two children, ages 9 and 14, developed acute lymphocytic leukemia about 10 months after they received Phosphocol P 32 by intra-articular injection. Phosphocol P 32 is not indicated for intra-articular injection in treating hemarthroses, and its safety and effectiveness in children have not been established. Phosphocol P 32 can also cause radiation injury to the small bowel, cecum and bladder when it is instilled into the peritoneal cavity. |
 | Rt Pleural Effusion? Rt pleural effusion or artifact? |
 | Laparoscopy -- perforated DU and septic shock A 40 years old female recently diagnosed with Child C liver cirrhosis and portal hypertension was brought to the Emergency Department with an acute abdomen; she was in septic shock, anaemic (Hb 82), acidotic, hypotensive, tachycardic, tachypnoeic, hypoxemic, dehydrated, anuric, febrile, jaundiced (Brb 160), coagulopathic (INR 2.1), hypoalbuminemic (18); LFT's were elevated; on examination she was lethargic and had a grossly distended abdomen. She was rushed to the operating theatre and underwent a laparoscopy ( a Visiport was used through a right paraumbilical approach to create the pneumoperitoneum and three 5mm trocars to complete the procedure laparoscopically): free fluid, collections and fibrinous deposits were found throughout the abdomen; the large and small bowel was grossly distended; the liver was rigid with cirrhotic appearance and the veins in the falciform ligament were of impressive size; the gallbladder was also distended. After aspiration of the fluid and drainage of collections, the gallbladder was lifted and loops of small bowel were removed from early adhesions in the right upper quadrant; a punched out perforation was identified on the anterior wall of the duodenum. This was sutured with a figure of eight 2/0 Vicryl and patched with omentum; the abdomen was further lavaged and drained. The patient condition improved immediately and in spite of low Hb she did not required postoperative transfusion; she required a tracheostomy to be extubated, but a week after surgery she was mobilising outside of the hospital with her family; she was discharged to physician care a few weeks later but remained in hospital due to a persistent right pleural effusion that required repeated drainage, thoracoscopy and pleurodhesis. References: Dr. Oliver Florica www.sydenygastricbanding.com.au |
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