QuestionSBA
QuestionChoice
This may be appropriate if the effusion is exudative and felt to be secondary to a possible malignancy, but is not warranted at present.
10028464
d
CT Chest, abdomen and pelvis
QuestionChoice
The examination findings and chest x ray do not suggest acute pulmonary oedema and therefore furosemide is not warranted at present.
10028465
e
Intravenous furosemide
QuestionChoice
This may prove helpful in providing symptomatic relief, but the mainstay of treatment in cases of pleural effusion is establishing and treating the underlying cause.
10028463
c
Chest physiotherapy
QuestionChoice
This is correct. This woman has a pleural effusion and the aetiology needs to be uncovered through aspiration and pleural fluid analysis of protein content, LDH, cell count, pH, glucose and microbiology testing to ascertain whether it is a transudative or exudative cause.
10028461
a
Pleural aspiration
QuestionChoice
This is the treatment of choice in cases of tension pneumothorax, which the examination and chest x-ray do not support.
10028462
b
Emergency needle decompression
QuestionComment
On pleural asiprate order G-CLAP

Glucose
Cytology
LDH (for lights criteria)
Acid (pH)
Protein (for lights criteria)
58627
User
subscriber
Relapse Retrograde
Concept
Chapter
2693
6067
Pleural effusion
Topic
316
Imaging
18090
Pleural aspiration is essential for diagnosing the cause of a pleural effusion (transudative vs exudative) through analysis of the pleural fluid and application of lights criteria
Picture
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Topic
316
Imaging
A 50 year old woman presents to the emergency department short of breath. Examination reveals dullness to percussion on the right side.

A chest X ray is performed and shows:

[lightgallery]

What is the most appropriate course of management?
a