Work

Approach to symptomatic pleural effusion in acute and critical care

Year: 2026

Type: article

Abstract: Problem-Solving for Acute and Critical CareOpening Vignette Mdm Tan, a 67-year-old non-smoker with hypertension and hyperlipidaemia, presented to the emergency department for progressively worsening dyspnoea and orthopnoea for two weeks.She also reported intermittent dry cough for the past three months.On examination, she was afebrile but tachypnoeic (respiratory rate 24/min).Peripheral oxygen saturation was 92% in room air.Chest examination revealed reduced air entry over the mid-to-lower zones of the right lung, associated with stony dullness to percussion and reduced chest excursion.No tracheal deviation was observed.Chest X-ray showed a large right-sided pleural effusion.She was put on 3 L/min of oxygen supplementation via nasal cannula and admitted for further management.

Source: Singapore Medical Journal

DOI: 10.4103/singaporemedj.smj-2025-005

Authors: Arturo Yong Yao Neo, Isaac Kah Siang Ng, Hiang Ping Chan, Kay Choong See

Institutions: National University of Singapore, National University Hospital, National University Health System

Language: English

Topic: Pleural and Pulmonary Diseases

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W7213967499

FWCI:

Cites: 18

Cited by:

Related to: 10