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Disorders of the Pleura: Student/Resident Case Report Poster - Disorders of the Pleura |

Chronic Pleural Effusions Secondary to Peritoneal Dialysis

Kunal Chawla, MD; Amish Shah, MD; Leena Pawar, MD; Kristine Soltanpour, DO; Samana Zaidi, MD
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SUNY Upstate Medical University, Syracuse, NY


Copyright 2016, American College of Chest Physicians. All Rights Reserved.


Chest. 2016;150(4_S):587A. doi:10.1016/j.chest.2016.08.676
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SESSION TITLE: Student/Resident Case Report Poster - Disorders of the Pleura

SESSION TYPE: Student/Resident Case Report Poster

PRESENTED ON: Tuesday, October 25, 2016 at 01:30 PM - 02:30 PM

INTRODUCTION: A rare but well-established complication of peritoneal dialysis (PD) is hydrothorax, affecting 2% of people undergoing PD. These effusions are thought to be secondary to congenital diaphragmatic defects (more common on the right side) but may also be secondary to the increased intra-abdominal pressures from PD. When suspected, the first line investigation is chemical analysis of the pleural fluid which is expected to reveal a glucose gradient of more than 50mg/dL. Although usually sufficient to confirm a pleura-peritoneal communication, further investigation may be required to establish the diagnosis.

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