 |  Q
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| Author | 3 Posts |
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A 61 yr old man is hospitalized. On the 5th day of his hospital stay, a chest x-ray film reveals a pleural effusion. Thoracentesis is performed, yielding 250cc of fluid with a pleural fluid protein/serum protein ration of 0.7, and a lactate dehydrogenase level of 240 U/L. Which of the following conditions may lead to development of an exudate within the pleural cavity?
A.) Bacterial pleuritis
B.) Cirrhosis of the liver
C.) CHF
D.) Nephrotic syndrome
E.) Protein-losing enteropathy
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| meg
Forum Guru
Topics: 62
Posts: 806
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it is an exudate (pleural fluid prot:serum protein >0.5, LDH more than 200U)
So it has to be A. Elderly are susceptible to strep pneumo, hospital acquired I guess here.
Others would have caused transudates.
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| asmi
Forum Hero
Topics: 1043
Posts: 4,609
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yes exudate..therefore A is correct
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