A Study of Clincoetiological Profile of Patients with Pleural Effusion
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 1
Abstract
Introduction: A pleural effusion is an abnormal collection of fluid in the pleural space resulting from excess fluid production or decreased absorption or both. It reflects an abnormal pathophysiological state resulting from disequilibria between pleural fluid formation and removal. Objectives: The objective of this study was to determine the clinical profile, etiology in patients presenting with pleural effusion and correlation between etiology, clinical and radiological findings. Material And Methods: It was a cross sectional study carried out at the GRMC JAH Department of Medicine, Gwalior, from to July 2013 to October 2014. Inclusion criteria were all 100 patients above 14 years of age with clinical and radiological evidence of pleural effusion. Patients with past history of trauma chest, thoracocentesis were excluded. The demographic variables were gender, age in years, sex and address. The research variables were breathlessness, fever, cough, chest pain, generalized edema, abdominal pain, haemoptysis and cause of pleural effusion. .Investigations like CBC, RBS, RFT, serum albumin, CXR, and pleural fluid analysis, USG chest and abdomen, echocardiogram, UGI endoscopy, blood culture, FNAC and CT Scan. There were eight age groups between below 21 years to above 81 years. Nominal data was analyzed for frequency and (%) and the numeric data was analyzes by chi square test p-value. Results: In present study maximum cases (66%) presented with exudative type of pleural effusion. Of these 43 cases (65.15%) had tuberculosis, 5 cases (7.5%) had malignancy 4 cases (6.06%) had pneumonia.34% cases presented with transudative type of pleural effusion. Of these 10 cases (29.41%) had hepatic involvement, 8 cases (23.52%) had CCF. Acute febrile illness 9(9%), Nephrotic syndrome 4(16%), renal failure 5(5%), hypoalbuminemea 5 (5%) pancreatitis (1%) and ARDS (1%) were other causes of pleural effusion in this study.
Authors and Affiliations
Arya Shashikant, Gupta Archana
Keywords
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- EP ID EP590992
- DOI 10.9790/0853-1601122327.
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