Concluded Case

Pleural Effusion ? Etiology

A male aged 33 years with history of Recurrent Cough Chief Complaints Breathlessness Heaviness Rt side of chest Poor exercise tolerance (x 20 days) Physical Examination Resp - decrease air entry in Rt inframammary infra-axillary & infrascapular region Investigations Pleural fluid examination TLC - 223 N - 56 L - 22 ADA - 13.6 Albumin - 3g/dl Protein - 6.6 g/dl Glucose - 102

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Concluded answer

Right sided pleural effusion Pleural fluid analysis suggest that protein content in pleural fluid is high It suggest that it is likely to be exudative type of Pleural effusion caused by infection as neutrophils are predominantly seen in Pleural fluid

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Hydropneumothorax rt side Aspirate analysis suggest inflammatory Likely lower lobe pneumonitis with pleural effusion Repeat xray after fluid aspiration Or hrct

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Right sided pleural effusion Pleural fluid analysis suggest that protein content in pleural fluid is high It suggest that it is likely to be exudative type of Pleural effusion caused by infection as neutrophils are predominantly seen in Pleural fluid

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CXR..STUDY .. RT .. LOWER ZONE .. OPACITY.. RT .. PLURAL EFFUSION .. NEED'S .. PLURAL TAPPING .. PLURAL FLUID ANALYSIS .. ? TUBERCULOS .. MALIGNANT ..

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Pleural effusion is always tubercular unless proved otherwise Pleural effusion fluid for HPE, C/s For AfB& any abnormal cells, malignant cells

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POSSIBLY MALIGNANT NEEDS ALL. .RELEVANT. EVALUATION

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Neutrophils are dominant , this suggests pnemonitis induced effusion. Also do culture , and cytology of fluid.

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Rt sided effusion. Adv pleural tapping.

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