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      Claves diagnósticas en el paciente adulto con derrame pleural: revisión narrativa Translated title: Diagnostic pitfalls of the adult patient with pleural effusion: narrative review

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          Abstract

          RESUMEN El derrame pleural se define como la acumulación anormal de líquido en el espacio pleural, que se produce por el aumento en la producción o disminución en su drenaje. Es una entidad frecuente en la práctica clínica y obedece a múltiples causas, las cuales varían de acuerdo con la epidemiología local, los antecedentes y el contexto clínico. Es determinante el análisis del líquido pleural, cuando esté indicado, así como otras ayudas diagnósticas teniendo en cuenta la presentación clínica con énfasis en las condiciones comórbidas y las infecciones. De estas últimas, se destaca la tuberculosis y la neumonía, entidades bastante frecuentes en nuestro medio. El tratamiento va dirigido a la causa de base, aunque hasta en el 25 % de los pacientes no se identifica una causa evidente.

          Translated abstract

          SUMMARY Pleural effusion is defined as the abnormal accumulation of fluid in the pleural space that is caused by its increased production or decreased drainage. It is a frequent entity in clinical practice, due to multiple causes, which vary according to local epidemiology, personal history and clinical context. The analysis of pleural fluid will be decisive when indicated, as well as another diagnostic tool taking into account the clinical presentation, emphasizing comorbid conditions and infections, including tuberculosis and pneumonia; quite frequent entities in our environment. The treatment is aimed at the underlying cause, although up to 25% of patients do not identify an obvious cause.

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          Most cited references65

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          Comparative Diagnostic Performances of Auscultation, Chest Radiography, and Lung Ultrasonography in Acute Respiratory Distress Syndrome

          Lung auscultation and bedside chest radiography are routinely used to assess the respiratory condition of ventilated patients with acute respiratory distress syndrome (ARDS). Clinical experience suggests that the diagnostic accuracy of these procedures is poor.
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            Investigation of a unilateral pleural effusion in adults: British Thoracic Society Pleural Disease Guideline 2010.

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              The American Association for Thoracic Surgery consensus guidelines for the management of empyema

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                Author and article information

                Journal
                iat
                Iatreia
                Iatreia
                Universidad de Antioquia (Medellín, Antioquia, Colombia )
                0121-0793
                December 2020
                : 33
                : 4
                : 348-359
                Affiliations
                [1] Medellín Bogotá orgnameUniversidad San Martín Colombia
                Article
                S0121-07932020000400348 S0121-0793(20)03300400348
                10.17533/udea.iatreia.62
                b9ec636f-f05f-4fa0-a154-19efd3d623b0

                This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

                History
                : 20 February 2020
                : 29 October 2019
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 66, Pages: 12
                Product

                SciELO Colombia

                Categories
                Artículos de revisión

                Thoracentesis,Pleural Effusion,Pleural Cavity,Pleura,Diagnosis,Toracocentesis,Diagnóstico,Derrame Pleural,Cavidad Pleural

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