Related Experiment Video
Updated: Jan 9, 2026

Percutaneous Hepatic Perfusion PHP with Melphalan as a Treatment for Unresectable Metastases Confined to the Liver
Published on: July 31, 2016
PM-POCUS in Palliative OPDs: Bridging Home-Based Assessment and Hospital Expertise for Malignant Pleural Effusion
Aysha Pathari1, Jayita K Deodhar1, Shamali Poojary1
1Department of Palliative Medicine, Tata Memorial Hospital, Homi Bhabha National Institute, E Borges Road, Mumbai, Maharashtra, India.
None:
Malignant pleural effusion (MPE) causes significant morbidity in advanced cancer, yet traditional management often delays care for bedbound patients. This case demonstrates how integrated home-based palliative care and hospital-based Palliative Medicine Point-of-Care Ultrasound (PM-POCUS) enabled rapid diagnosis and intervention. A 44-year-old female with metastatic breast cancer developed severe dyspnoea (ESAS-R 10/10) due to MPE. Home care teams identified the emergency, while PM-POCUS in a palliative outpatient department (OPD) guided thoracentesis despite extensive chest wall lesions. PM-POCUS bridges home and hospital care, offering timely symptom relief while avoiding hospitalisations. This model highlights the need for portable diagnostics in palliative training programs.
Related Concept Videos
Pleural Effusion II: Symptoms and Management
A pleural effusion is the abnormal collection of fluid between the parietal and visceral pleura layers of tissue that form the lining of the lungs and chest cavity. It can occur independently or due to surrounding parenchymal diseases, such as infection, malignancy, or inflammatory conditions.
Clinical Manifestations:
Pneumonia V: Nursing management and Prevention
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
Pneumonia IV: Management
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:
Endoscopic Studies I: Bronchoscopy and Thoracoscopy
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
Pleural Effusion I: Introduction
There are two main types of pleural effusion: transudative and exudative. They are differentiated using Light's...
Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care

