ARJ
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A 3-year-old girl with tricuspid atresia has increasing respiratory distress for 2 days. She has been recovering uneventfully from an operation 10 days ago to join systemic venous return with pulmonary arterial circulation. Over the past 4 days, she has been weaned off mechanical ventilation, started on oral feedings, and is receiving chest physiotherapy for atelectasis. Her temperature is 37.5 C (99.6 F), blood pressure is 96/60 mm Hg, pulse is 119/min, and respirations are 43/min. Examination shows nasal flaring, grunting, and intercostal retractions. An x-ray film of the chest shows large bilateral pleural effusions. Thoracentesis yields 280 mL of whitish-yellow fluid. The supernatant remains uniformly opaque on centrifugation. Which of the following is the most likely cause of the pleural effusions?
A ) Chylothorax
B ) Congestive heart failure
C ) Empyema
D ) Pulmonary embolism
E ) Superior vena cava obstruction
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"Live as if you were to die tomorrow. Learn as if you were to live forever." --Mahatma Gandhi
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| DrS
Forum Elite
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A
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| phuluong2k
Forum Fanatic
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A
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| frontal
Forum Guru
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Here too, A.
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| ARJ
Forum Guru
Topics: 133
Posts: 792
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A too
I think fat floats when centrifuged and many others supporting facts..........
Edited by ARJ on 11/18/05 - 08:11 AM
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| kabu
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A.
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