A male with Chronic Dyspnea

A male aged 44 years Chief Complaints Chronic Dyspnea Cough Fever (on/off) (x 2 months) Physical Examination Resp- Decrease air entry left hemithorax (in all areas)

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Left opaque hemithorax with mediastinal shift towards contralateral side. Findings sugg of massive pleural effusion on left. Plan left ICD And CT thorax Fluid analysis Medical management accordingly

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It's a case of massive plueral effusion on left side of lung, Left hemithorax , mediastinum shifted towards opposite side, Plan for ICD and fluid taping, HRCT CHEST, 2D ECHO, RULE PF TB.

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X Ray chest shows large left sided pleural effusion with shift of mediastinum to opposite side Adv Pleural fluid analysis

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Left side hemithorax is opaque homogeneously and pushing trachea and mediastinum to rt Gross hydrothorax Adv thoracocentesis with icd in place Send aspirate for analysis D/d malignant Tubercular

Thanx dr Sanjay Bhasme
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Congratulations! Your case has been selected as Case of the day and you have been awarded 5 points for sharing the case. Keep posting your interesting cases, Happy Curofying!

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SUGGESTIVE. OF .. ...LT. SIDED MASSIVE PLEURAL. EFFUSION... OPAQUE HEMITHORAX NEEDS 1. FLUID. ANALYSIS.. AFTER. I. C. D 2 FURTHER EVALUATION

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Collapsed lt lung Rt calcified apical possibly Koch's cbnat hrct DD effusion with cardiomegaly 2 decho

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CXR..STUDY.. ? LEFT EFFUSION .. NEED'S.. PLURAL FLUID ANALYSIS.. CARDIAC STUDY..

Tnx Dr Shivraj Agarwal sir
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Massive pleural effusion lt side with mediastinal shift towards rt side. Advise-cbc. 2-aspiration of pleural fluid. 3-biochemistary of fluid. 4-intercostal tube drainage. Treat as per reports.

Massive pleural effusion Lt side Heart pushed to right Ad ICD with under water seal Ad CBNAAT Sputum exam HRCT thorax Pleural fluid for HPE P T B RT PCR for COVID

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