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    Pleural Effusion, A Simple Guide To The Condition, Treatment And Related Conditions
    Pleural Effusion, A Simple Guide To The Condition, Treatment And Related Conditions
    Pleural Effusion, A Simple Guide To The Condition, Treatment And Related Conditions
    Ebook117 pages1 hour

    Pleural Effusion, A Simple Guide To The Condition, Treatment And Related Conditions

    By Kenneth Kee

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    About this ebook

    Pleural effusion is a fluid collection in the pleural space between the parietal (external) and visceral (internal) layers of the pleural cavity.
    Excessive fluid can limit the expansion of the lungs and cause breathing difficulty.
    There are 4 types of pleural effusion which can occur in the pleural space:
    1. Serous fluid
    This is basically a passive collection of extracellular fluid with a specific gravity of

    LanguageEnglish
    PublisherKenneth Kee
    Release dateDec 22, 2016
    ISBN9781370412174
    Pleural Effusion, A Simple Guide To The Condition, Treatment And Related Conditions
    Author

    Kenneth Kee

    Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"

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      Book preview

      Pleural Effusion, A Simple Guide To The Condition, Treatment And Related Conditions - Kenneth Kee

      Pleural Effusion,

      A

      Simple

      Guide

      To

      The Condition,

      Treatment

      And

      Related Conditions

      By

      Dr Kenneth Kee

      M.B.,B.S. (Singapore)

      Ph.D (Healthcare Administration)

      Copyright Kenneth Kee 2014 Smashwords Edition

      Published by Kenneth Kee at Smashwords.com

      Dedication

      This book is dedicated

      To my wife Dorothy

      And my children

      Carolyn, Grace

      And Kelvin

      This book describes Pleural Effusion,

      and Its Treatments and Related Diseases or in vernacular terms

      (What You Need to treat Pleural Effusion)

      This eBook is licensed for the personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.

      If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.

      Thank you for respecting the hard work of this author.

      Introduction

      Ode to Pleural Effusion

      Pleural effusion is a fluid collection in the pleural cavity, a disease

      Between the parietal and visceral layers of the pleural space.

      There are 2 types of pleural effusions: transudates and exudates

      Most transudates are due to generalized edema and heart failure

      Exudates are due to inflammation or neoplastic disorders

      The fluid has high protein content , yellow or orange in color

      The causes are due to pneumonia or empyema infections

      Pulmonary tuberculosis and pulmonary infarction

      There are symptoms such as chest pain, dry cough and breathlessness

      There are faint or absent breath sounds, and percussion dullness

      Treatment is to treat the cause of underlying disease and breathing relief

      Chemotherapy agent or antibiotics in the pleural cavity will heal the disease

      -An original poem by Kenneth Kee

      Interesting Tips about the Pleural Effusion

      A Healthy Lifestyle

      1. Take a well Balanced Diet

      2. Treatment of Pleural Effusion:

      a. Pleural Aspiration is done for relief of chest discomfort and breathlessness.

      The Chest Drainage Device is usually connected to an underwater seal below the level of the chest.

      Air or pleural fluid is allowed to escape from the pleural space but nothing is allowed to return to the pleural cavity.

      Larger effusions may need insertion of an intercostal drain .

      b. Treatment depends on the underlying cause of the pleural effusion.

      c. Therapeutic aspiration may be sufficient in some cases of trauma and leakage.

      d. Installation of antibiotics (e.g.,bleomycin, tetracycline/doxycyline) in pleural cavity

      e. Installation of chemotherapy drugs for cancer into the pleural cavity.

      f .Treatment of filariasis cases with antiparasitic drugs

      g. Surgical pleurodesis- here the parietal and visceral pleural surfaces are made to adhere to each other to prevent accumulation of fluid.

      3. Keep bones and body strong

      Bone marrow produces our blood

      Eat foods rich in calcium like yogurt, cheese, milk and dark green vegetables.

      Eat foods rich in Vitamin D, like eggs, fatty fish, cereal, and fortified milk.

      Eat food rich in Vitamins B and C such as green vegetables and fruits

      Zinc and other minerals are important to the body

      4. Get enough rest and Sleep

      Avoid stress and tension

      5. Exercise and stay active.

      It is best to do weight-bearing exercise such as walking, jogging, stair climbing, dancing, or lifting weights for 2½ hours a week.

      One way to do this is to be active 30 minutes a day at least 5 days a week.

      Begin slowly especially if a person has not been active.

      6. Do not drink more than 2 alcohol drinks a day for a man or 1 alcohol drink a day for a woman.

      Alcohol can affect the neurons and brain cells.

      7. Stop or do not begin smoking.

      It also interferes with blood supply and healing.

      Cigarettes contain more than forty types of hazardous and possibly cancer causing chemicals which can harm the smokers and those around them

      Chapter 1

      Pleural Effusion

      Last week a 56 year old came to see me with breathlessness for 2 weeks.

      She had a history of psychological problems and was under the treatment of a psychiatrist.

      I listened to her lungs which seems to be clear except for some decreased air entry on the right lower bases.

      Her heart sounds were normal.

      On examination she had an ankle swelling on the right foot but not on her left foot.

      I decided that I had to send her for a X-ray of her lungs to have a clearer view of her lungs.

      The X-rays showed the presence of infiltration in the right lower lobe with a right lower pleural effusion.

      The Radiologist (X-ray Doctor) reported that the X-ray was suggestive of infection of the right lungs.

      The patient had no fever or any evidence of an infection such as cough.

      Any way I gave her a course of antibiotics and also bronchodilator to help her breathe easier.

      At the end of the course she still did not felt better (still breathless).

      Just a month ago I had 2 women patients who were also diagnosed with cancer of the lungs.

      Fearing the

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