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  1. #1
    usmlemate is offline Junior Member
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    pleural effusion

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    A 2Y old girl with tricuspid atresia has increasing Resp Distress for 2Days.
    She has been recoveruing uneventfully from an operation 10days ago to join SV return with Pulmonary arterial circulation.

    Over past 4 days she has been weaned off mechanical ventilation started on Oral feedings and is receiving chest therapy for atelectesis

    Temp 37 BP 98/64 Pulse 120 Resp 46

    Examn Nasal f\laring and Grunting and Intercostal retractions
    Xray Large B/L Pleural Effusions

    Thoracocentesis 300ml of Whitish Yellowish Fliuid
    Supernatant remains Unifromly Opague on Centrifuge

    What is the Likely cause of pleural effusion

    1) Chylothorax
    2) CHF
    3) Empyema
    4) Pulmonary Embolism
    5) SVC Obstruction

  2. #2
    Asclepius1's Avatar
    Asclepius1 is offline Ultimate Member 537 points
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    ans

    Answer = A

  3. #3
    AliShah is offline Junior Member
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    my guess is A. chylothorax because thoaracocentesis shows whiteish yellowish fluid just like cholesterol

  4. #4
    hugh_lee is offline Newbie
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    cud stil be CHF, the eff is bilateral, and blood from sv goes directly to the lungs in her case which may lead to vol overload.

  5. #5
    hugh_lee is offline Newbie
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    cud stil be CHF, the eff is bilateral, and blood from sv goes directly to the lungs in her case which may lead to vol overload to the left heart.

  6. #6
    r.r.r.r. is offline Junior Member 510 points
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    agree with chylothorax

    1) Chylothorax
    Traumatic or iatrogenic after thoracic procedures is the second MCC of chylotorax -number one is malignancies (lymphoma). Usually the patient remains asymptomatic until a large amount of chyle accumulates in the pleural space.The average latent period between the insult and the onset of symptoms is 7-10 days.

  7. #7
    Asclepius1's Avatar
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    chf

  8. #8
    Asclepius1's Avatar
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    [IMG]/richedit/smileys/8.gif[/IMG]CHF

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    not sure

    hey i am not so sure but it is mostly chylothorax we that features of fluid n no other symptoms it is mostly chylothorax

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