The doctor will listen through a stethoscope, which is an instrument used to listen to heart beats and breathing, in the area where the pain is located. He/ she will listen to the lungs for signs of inflammation or rubbing within the pleural areas. According to George Schiffman, MD, FCCP (2015), the rubbing noise is referred to as plural friction rubbing. Use of chest x-rays are another resources that is used to help with diagnosis. With pleurisy, chest x-rays are normally taken either with the patient sitting straight up or laying on their side. These x-rays are a great sources to show the doctor the amount of fluid build the patient has in order to give the proper treatment. Other scan methods used are ultrasounds and CT (Cat Scans). CT scan are unique to the fact they can see smaller amount of fluid. They are able to detect small encapsulated pocket of fluid within the pleura. Doctors also use another method of aspiration, which is a process that involves use of a needle and syringe. Once the fluids are removed and tested a diagnosis can be given based on the fluids composition and appearance. The fluid is labeled as either transudative or exudative. Transudative, which is the most common, is a more “water fluid” build up. This normally has linkage to things such as heart failure, liver and/or kidney disease. Exudative which is more “protein-rich fluids and low in sugar. These effusions are “excessive collection” (NIH/NLM, 2015) of these fluids. Exudative is normally linked to such things as pneumonia, tuberculous, and collaganized disease like arthritis and lupus. (Schiffman,…