Concluded Case

pleural effusion

Female PT age 75 yrs Covid negative Come with sob restlessness Chest pain On pipzo, levofox nebulize with duolin &budecort 1lit pleural trapping done 500 ml each Chief Complaints Sob Chest pain Restlessness Vitals Spo2-93/ before thoracocentesis After thoracocentesis spo2 97 Vital stable Physical Examination Dull sound in RT sided chest Investigations Ldh -900pleural fluid Ada 2 Rest of all investigation are almost normal . Management Plz suggest Rx dx

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Concluded answer

Rt sided opaque hemithorax seen. Mediastinal shift towards contralateral side. Cardiomegaly. Possibly massive pleural effusion on rt with ? Underlying lung collapse. Needs further evaluation. Rt sided ICD. Diagnostic and therapeutic pleurocentesis.

All Answers

Right sided massive Pleural effusion with mediastinal shift to opposite side causing respiratory distress Low ADA value rules out tuberculosis High chance of malignant pleural effusion Adv Inter costal drainage tube insertion with help reduce respiratory distress Check for malignant cells in pleural fluid PET CT scan may help in further diagnosis

SUGGESTIVE. OF ... CARDIOMEGALY... RT. SIDED LUNG. COLLAPSE MASSIVE. PLEURAL. EFFUSION NEEDS ALL. ROUTINE. EVALUATION... POSSIBLY CARDIOGENIC. ETIOLOGY DD MALIGNANT CHANGES...??

Rt sided opaque hemithorax seen. Mediastinal shift towards contralateral side. Cardiomegaly. Possibly massive pleural effusion on rt with ? Underlying lung collapse. Needs further evaluation. Rt sided ICD. Diagnostic and therapeutic pleurocentesis.

Massive pleural effusion right side Complete volume loss Ad tapping under water seal Ad pleural fluid for HPE Tubercular Malignant Ad CBNAAT Sputum exam HRCT thorax RT PCR for COVID to R/o

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? RT.. PLURAL EFFUSION .. NEED'S.. PLURAL TAPPING.. PLURAL FLUID ANALYSIS..

Tnx Dr Sameer Bhagora
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Hydrothorax rt chest Needs consistent thoracocentesis with icd in place Likely a malignant effusion

Thanx dr Sameer Bhagora
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Right side pleural effusion Need further evaluation HPE of pleural fluid Evaluate for malignancy mainly ca ovary

Plural fluid analysis Maybe tuburcular etiology CBNAAT and Sputum exam

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