druas
Forum Elite
Topics: 47
Posts: 331
|
A 65-year-old man with hyperlucent lung fields develops extreme
shortness of breath over a period of about 15 minutes. Chest x-ray
shows a shift of the mediastinum to the right, and the lung field
on the left appears even more hyperlucent than before, with the
exception of a white shadow near the heart border. Which of the
following is the most probable cause of the patient's current problem?
A. Bronchogenic carcinoma
B. Pleural effusion
C. Pulmonary embolism
D. Rupture of an emphysematous bulla
E. Tuberculosis
|
| doc179
Forum Guru
Topics: 67
Posts: 1,217
|
my ans is D . pls correct me if I am mistaken
|
| skyhigh
Forum Guru
Topics: 105
Posts: 561
|
b?
|
| doc179
Forum Guru
Topics: 67
Posts: 1,217
|
skyhigh, why do you think it is B? I feel it is unlikely because
1. sudden onset
2. no fluid level seen
these are not char. of effusion.
He had hyperlucent lungs before, so he was already emphysematous, we know that. So D seems right.
|
| Doc2378
Forum Guru
Topics: 46
Posts: 688
|
Agree..I'd go with D here too
___________________
Courage does not always ROAR. Sometimes courage is the quiet voice at the end of the day saying, "I will try again tomorrow" - Mary Anne Radmacher
|
| reet
Forum Fanatic
Topics: 152
Posts: 1,411
|
mediastinum shift to rt also... so rupture bullae...ans D.
___________________
Live as u were to die tommorow. Learn as if u were to live forever.
|
| guangyu
Forum Elite
Topics: 29
Posts: 308
|
d
|
| docarchana
Forum Guru
Topics: 70
Posts: 515
|
rupture of an emphysematous bulla causes spontaneous pneumothorax.
|
| fox
Forum Guru
Topics: 70
Posts: 727
|
___________________
Aim High
|
|
| |
| | | | | | | | | |
