Pleural Disease – Dr. Karin Halvorson – September 9, 2016

PLEURAL EFFUSION PEARLS:

  • Virtually all patients with a newly discovered pleural effusion should undergo thoracentesis to aid in diagnosis and management.
  • Fever with a new pleural effusion is a medical emergency and mandates a diagnostic tap (do not let the sun set or rise on this clinical scenario)
  • Complicated pleural effusion and empyema require chest tubes
  • Routine studies: cell count and differential, protein, LDH, glucose, cytology, pH, culture
  • Consider: BNP, albumin, ADA, mesothelin

Karin Halvorson trained in Internal Medicine and Emergency Medicine at UIC Chicago followed by a Fellowship in Pulmonary and Critical Care Medicine at Brown University.  At Brown she worked under James Klinger, MD and Corey Ventetuolo, MD, who currently run the Pulmonary Hypertension Center there.  She is fascinated by this ever evolving field.  She is currently the ICU Director at the Southeast Louisiana Veterans Health Care Center with a  Faculty appointment at Tulane University.

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