Clinical Case Database / Category: Clinical Care

Management of pleural effusion

Publication details

Helen Davies MBBS MRCP, Y C Gary LEE MBChB PhD FRACP FCCP
Foundation Years Journal, volume 1, issue 1, p.1 (123Doc Education, London, April 2007)

Abstract

A 67-year-old retired electrician presents to the medical admissions unit with a 6 week history of progressive breathlessness and weight loss. He was previously fit and well and on no regular medication. He stopped smoking 20 cigarettes a day 30 years ago, having started smoking in his teens and had exposure to asbestos whilst working on building sites in his 30s.

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Authors

Helen Davies MBBS MRCP

Research Fellow in Pleural Disease,
Oxford Centre for Respiratory Medicine, Oxford

Y C Gary LEE MBChB PhD FRACP FCCP (Corresponding author)

Consultant & Senior Lecturer
Oxford Centre for Respiratory Medicine,
Churchill Hospital, Oxford, OX3 7LJ

References

1. British Thoracic Society Standards of Care Committee. BTS guidelines for the investigation of a unilateral pleural effusion in adults. Thorax 2003; 58(Supp II): ii8-ii17
2. Maskell NA, Gleeson FV, Davies RJO. Standard pleural biopsy versus CTguided cutting-needle biopsy for diagnosis of pleural malignancy in pleural effusions: a randomised controlled trial. Lancet 2003; 361:1326-31
3. Boutin C, Rey F, Viallat JR. Prevention of malignant seeding after invasive diagnostic procedures in patients with pleural mesothelioma. A randomised trial of radiotherapy. Chest 1995; 108:754-8
4. Treasure T, Waller D, Swift S et al. Radical surgery for mesothelioma. BMJ 2004; 328:237-238

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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.

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