During g morning rounds a colleague of presents a case of community acquired pneumonia that it is not improve with empirical antibiotics. After examining the patient, you suspect the presence of pleural effusion. Decision was made to attempt to aspirate the effusion. Which of the following is a contraindication to perform diagnostic bedside thoracentesis?
سؤال مجاني 3 من 10 اليوم · اشترك وكمّل بدون حد
اعرض الإجابة
الإجابة والشرح
ادخل لحسابك عشان نحفظ إجاباتك ونوريك أخطاءك.
الإجابة: C. Lateral decubitus Chest X ray showing lobulated effusion
Bedside (blind) thoracentesis is done only when the fluid is >1 cm and free-flowing (not loculated). A loculated/lobulated effusion needs image-guided or tube/surgical drainage, so it is the contraindication here. A fluid height >1 cm (B) is actually the requirement for a safe tap; mild anaemia, fever and inability to lie flat do not prevent it.
ليش كل خيار صح أو غلط
-
B
ليش غلط
Fluid more than 1 cm deep is what makes a bedside tap feasible; the listed contraindication is fluid less than 1 cm.
✓ (Y4)-(M B) Pneumonia and pleural effusion - Resident.pdf · p. 21 -
C
ليش صح
Thoracentesis is done when the fluid is bigger than 1 cm and not loculated (lobulated); a lobulated effusion therefore contraindicates a bedside tap.
✓ Pulmonology 🫁.pdf · p. 20
- المصدر
- Pulmonology 🫁.pdf · p. 20
(Y4)-(M B) Pneumonia and pleural effusion - Resident.pdf · p. 21 - المحاضرة
- Pleural Effusion & Pneumothorax · Pulmonology · Module B
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- Respi bank