Managing malignant pleural effusion

Depending on the circumstances, options are observation, thoracentesis, an indwelling catheter, and chemical pleurodesis.

The Clinical Picture

Emphysematous cystitis

The patient had fallen in her home and remained on the floor for 2 days until neighbors heard her cries and called 911.

Symptoms to Diagnosis

Rapidly progressive pleural effusion

A 33-year-old nonsmoker presents with severe pleuritic chest pain; the differential diagnosis is broad.