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Postgraduate Education Corner: Ultrasound Corner |

Worsening Dyspnea and Cough Following ThoracentesisDyspnea Following Thoracentesis

Giovanni Volpicelli, MD, FCCP; Alessandro Lamorte, MD; Mattia Tullio, MD; Enrico Boero, MD; Valerio Stefanone, MD
Author and Funding Information

From the Department of Emergency Medicine, San Luigi Gonzaga University Hospital, Torino, Italy.

Correspondence to: Giovanni Volpicelli, MD, FCCP, Department of Emergency Medicine, San Luigi Gonzaga University Hospital, Regione Gonzole 10, Orbassano, Torino, Italy, 10043; e-mail: gio.volpicelli@tin.it


Reproduction of this article is prohibited without written permission from the American College of Chest Physicians. See online for more details.


Chest. 2013;144(2):e1-e3. doi:10.1378/chest.13-0674
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Extract

A patient was sent to our ED for worsening dyspnea and cough that followed a thoracentesis procedure. The patient, who has a history of COPD (and continues to actively smoke), urothelial carcinoma of the urinary bladder, and non-small cell left lung carcinoma, is currently undergoing a course of chemotherapy. Since the first diagnosis, and following an initial thoracentesis 30 days before, the patient was found to have a recurrent left-sided large exudative pleural effusion that was progressively increasing. Although the patient did not show signs of respiratory distress, a decision was made to repeat the procedure for a partial evacuation of the large effusion without ultrasonographic guidance.

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Figures

Tables

Video 1

Pattern visualized in the left side of the chest

Running Time: :09

Video 2

Lateral chest

Running Time: :09

Video 3

Ultrasound using convex probe

Running Time: :10

Video 4

Superior intercostal space of the lateral chest

Running Time: :10

Discussion Video

Ultrasound used to examine the lateral area of the chest

Running Time: 4:08

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