An alcoholic with Severe Dyspnea

A male aged 43 yrs who is chronic Alcoholic Chief Complaints Gradually increasing Dyspnea Now Present at rest Pain Chest (x 15 days) Physical Examination Decrease Air entry left mammary, infrascapular, axillary regions

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Encysted left sided pleural effusion with thick visceral pleura,probably empyema

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Left sided loculated costal pleural effusion seen. Adv therapeutic pleurocentesis. Fluid analysis.

Can do plural tapping with fluid analysis?
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Lt pleural effusion dd Lt pneumothorax dd Lt atelectasis Hrct Opinion of chest physician

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Dx-lt sided encysted pleural effusion. Advise-pleurocentasis and biochemistory of fluid examination to find out unddrlying cause.

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Lt pleural effusion Adv HRCT chest Routine blood investigations Sputum for AFB 3 samples CBNAAT Based on reports plan the treatment

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Moderate lt sided pleural effusion. Diagnostic and therapeutic pleurocentesis suggested

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Left side pleural effusion seen.... 1) theuropatic pleurocentesis 2) pleural fluid send for...r/e c/s afb gram stain ada zn stain cbnaat 3)HRCT chest, ABG , 4)Symptomatic treatment will start till report.....

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There is massive lt sided pleural effusion

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Lt encysted pl effusion

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LEFT .... PLEURAL EFFUSION FLUID DRAINAGE AND CULTURE CBNAAT AND AFB CHECK FOR MALIGNANCY

THANKS DR. @Sandeep Ghodekar SIR
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