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Pleural Effusion & Pneumothorax

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  1. A tall, thin 23-year-old male presents with sudden-onset shortness of breath and sharp right-sided chest pain after physical activity. On examination,… B-269MED43تكرر ×2
  2. A patient presents with cough and left-sided chest pain. Chest X-ray shows a left pleural effusion. Pleural fluid analysis reveals a milky appearance … B-270MED43
  3. A 25-year-old man presented to emergency department with progressive dyspnea associated with cough and right pleuritic chest pain. His past medical hi… B-271MED43
  4. 45-year-old male known case of ischemic heart disease, congestive heart failure and chronic kidney disease presenting with fever, cough and worsening … B-268تكرر ×4
  5. A 60-year-old woman treated for breast cancer 1 year ago, now on letrozole, has dyspnoea and cough without fever or sputum. RR 24, SpO₂ 96%, temp 36.7… B-685تكرر ×2
  6. A 54-year-old woman has a 7-day history of cough and dyspnea. On examination, her temperature is 37.9, BP is 105/70 mmHg, pulse rate is 106/min, oxyge… B-272
  7. A 78-year-old man, who has heart failure, is admitted to hospital because of acute onset of dyspnea. His chest x- ray reveals moderate bilateral pleur… B-273
  8. Male, smoker patient complains of shortness of breath, loss of appetite and weight loss. No fever or cough. There is right pleural effusion, exudative… B-274
  9. During g morning rounds a colleague of presents a case of community acquired pneumonia that it is not improve with empirical antibiotics. After examin… B-275
  10. A 65-year-old man, heavy smoker with no other medical illness, has progressive shortness of breath over the last 2 months associated with loss of appe… B-276
  11. A 55-year-old man has dyspnea on exertion. His physical examination shows stony dullness on percussion note on the right side. Chest x-rays show oblit… B-277المصادر مختلفة
  12. A 58-year-old woman undergoes a thoracocentesis for a pleural effusion. Lab results indicate Pleural fluid LDH level of 90 u/L Pleural fluid/serum LDH… B-278
  13. A 55-year-old man has a pleural effusion after a 2-week history of fever, productive cough, dyspnea, chills, and pleuritic chest pain. A thoracentesis… B-279
  14. 30yo man has progressive SOB and fever for 1 week duration. On examination: Temp 38,5, RR 20/min, trachea is deviated to the left, apex was in the lef… B-280
  15. Patient with lymphoma, developed SOB, which investigations to confirm the diagnosis of Chylothorax and duct invasion? B-281
  16. A 45-year-old woman with unexpected wright loss, loss of appetite and shortness of breath presents to your clinic. On examination, there is reduced br… B-282
  17. pleural effusion, pleurocentesis was done showed low pH + exudate, Patient had pneumonia before, and now developed pleural effusion, what is the cause… B-283المصادر مختلفة
  18. pt. With dyspnea, orthopnea, PND and lower limb edema. Pleurocentesis was done what results are compatible with the diagnosis. B-284
  19. Pt with right sided pleural effusion and ascites, what is the diagnosis? B-285المصادر مختلفة
  20. Pt with breast cancer, she has pleural effusion, pleural fluid analysis revealed exudate cause, what is the most likely cause? B-286
  21. A 50-year-old man has 3-day history of shortness of breath, fever, productive cough, and left-sided pleuritic chest pain. On examination, Temp 39C, HR… B-287
  22. A 40-year-old man is admitted to the hospital with a diagnosis of left sided community acquired pneumonia. Three days later, he is still febrile and r… B-288
  23. A 50-year-old male who had thoracentesis recently for pleural effusion investigation. His pleural fluid analysis showed exudative pleural fluid, based… B-289
  24. A 76-year-old woman presented with worsening dyspnea for the past 4 weeks with dyspnea, worsening fatigue and weight loss. On examination, she has gen… B-290
  25. A 60-year-old female presented to emergency department with 5 days of progressive dyspnea and cough. Chest x-ray showed moderate right pleural effusio… B-292
  26. A 70-year-old male chronic alcohol abuser presented with severe central chest pain after persistent nausea vomiting. He found to have left sided pleur… B-293
  27. Plural fluid, urinalysis was normal… (was transudate), what is the diagnosis? B-294
  28. Old women need urgent dialysis, Cather insert on le subclavian vein, her condition deteriorated, chest X- ray show trachea shi ed to the right, percus… B-362
  29. You are asked to request imaging to a patient with suspected pneumothorax who you examined in the emergency room. Which of the following would be the … B-380
  30. A 70-year-old woman with a history of breast cancer has worsening breathlessness and fatigue over a few days with mild chest discomfort. Exam: dullnes… B-673
  31. A 64-year-old man with type 2 diabetes and COPD has fever, pleuritic chest pain and productive cough for 4 days. He was admitted 3 weeks ago for a foo… B-690
  32. A 40-year-old man has fever, cough and right pleuritic pain. Right effusion: frank pus, neutrophils, LDH 1200, glucose 1.9 mmol/L. What is the diagnos… B-747
  33. A 72-year-old man with severe CAP on ceftriaxone and azithromycin has a left pleural effusion: pleural LDH 1200 (serum 360), protein 3 (serum 4), pH 7… B-757