Episode Details

In this APAPP session, Molly Jozefowski, MS, PA-C, discusses the diagnosis and management of pleural effusions. She explains how fluid can accumulate in the pleural space when production increases, resorption decreases, or both processes occur. Molly also reviews how Light’s criteria help distinguish transudative from exudative pleural effusions and highlights common causes, including heart, liver, or kidney failure, malignancy, postoperative changes, and medication reactions. She also describes common symptoms such as shortness of breath, cough, and chest pressure, which may develop gradually as fluid accumulates.

This video explores how chest X-rays, CT scans, and bedside ultrasound can be used to evaluate pleural fluid, with ultrasound offering a radiation-free way to assess the size of an effusion and identify a safe drainage site. Molly reviews treatment options including diuretics, thoracentesis, tunneled pleural catheters, and pleurodesis for recurrent or malignant pleural effusions. Ideal for pulmonology providers, advanced practice providers, and clinicians involved in pleural disease management, this discussion emphasizes shared decision-making and individualized treatment based on each patient’s symptoms, goals, and clinical needs.

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