Concluded Case

Patient 16 years old female presented with c/o jaundice since 2 months and was on Ayurvedic treatment. She had a total bilirubin of 24 and was diagnosed as a case of obstructive jaundice and underwent ERCP. 2 days after ERCP she developed tachypnoea(R/R: 56). Xray was performed.following which a pleural tap was done(image attached).diagnosis and line of management??

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Concluded answer

Rt sided moderate pleural effusion. Needs CT thorax and abdomen to find out source and drainage of fluid accordingly. Fluid examination in detail with culture and sensitivity. Till then antibiotics and supportive measures. Sugg Surgical reference.

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RT pleural effusion

You see the fluid in right lung is thick and anchovy sauce type.most probably amoebic liver abscess bursting into lung scan of lung ,thorough examination of fluid ,u.s.g guided drainage of pus.till all reports come,i.v metrogyl,antibiotics.

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Haemorrhagic pleural fluid Get pleural fluid tapping and complete analysis USG first and better to get CecT abd and pelvis for any mass

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Moderate pleural effusion right post ERCP.

B/L pleral effusion... Need of CECT of throax and abdomen, need of pleural Tap And test of fluid (Bio, Cyto, ADA)

As per image pl fliud looks to be thick and ...anchovy sauce... type Looks That basically the patho is in liver may be mass or amoebic liver abcess jrsting into chest...rt base patbolgy Needs ct chest Us abd Ct abd

right sided pleural effusion; hemorrhagic; send all fluid labs

Rt.pleural effusion

Post ERCP pleural effusion Causes could be post ERCP pancreatitis Metastatic pleural effusion Ruptured hepatic mass Sepsis with reactive effusion

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Rt sided moderate pleural effusion. Needs CT thorax and abdomen to find out source and drainage of fluid accordingly. Fluid examination in detail with culture and sensitivity. Till then antibiotics and supportive measures. Sugg Surgical reference.

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