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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pleural Effusion, Shortness Of Breath And Ribcage Pain?

Just diagnosed with pleural effusion on 1/22/18. Shortness of breath and rib cage pain. Emergency clinic took x-ray. Showed right lung 3/4 filled with fluid. Emergency hospital took me immediately to empty out 1.5 liters. CAT scan, more xrays, blood work, etc. In hospital 2 3/4 days. Waiting for PET scan that was scheduled for 1/31/18 but denied by insurance company. United Health Care AARP. Pulmonary physician discussing issue with insurance company. What happens if PET scan is not approved? I m female 77 yrs old.
Mon, 5 Mar 2018
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General & Family Physician 's  Response
Hello,

As per your clinical history is concerned, please follow like this:

1) Do a clinical examination by your treating Doctor and check if you have done following tests or not [CBC with differential, RF test, Chest X-Ray, ECG, Ultrasound and fluid culture].

2) Discuss with your treating Doctor about [Pleural biopsy] and it will confirm the exact pathological cause of your problem and it will be done under ultrasound guidance and it is a minor procedure.

3) Try to focus on primary under laying pathological cause only for treatment.

For lifestyle modification, take OTC painkiller like [Ibuprofen] for pain and take rest.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Uday Nath Sahoo
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What Causes Pleural Effusion, Shortness Of Breath And Ribcage Pain?

Hello, As per your clinical history is concerned, please follow like this: 1) Do a clinical examination by your treating Doctor and check if you have done following tests or not [CBC with differential, RF test, Chest X-Ray, ECG, Ultrasound and fluid culture]. 2) Discuss with your treating Doctor about [Pleural biopsy] and it will confirm the exact pathological cause of your problem and it will be done under ultrasound guidance and it is a minor procedure. 3) Try to focus on primary under laying pathological cause only for treatment. For lifestyle modification, take OTC painkiller like [Ibuprofen] for pain and take rest. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Uday Nath Sahoo