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37. Top Consults: Approach to Parapneumonic Effusions

PulmPEEPs

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How to Manage Paranamonic Fusions

Smaller medium board chest tubes are just as good as a larger board chest tube without subjecting patients to pain and discomfort. These parent-emotic patients tend to be neutrophilic exodates, so that's where the cell count differential is really important. And then I always send off a cytology specimen just in case because sometimes it looks like a parent-Emotic infusion when in fact you're dealing with something completely unrelated like a malignancy.

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