DrVirgo
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answer?
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| cirus
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Empyema
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| DrVirgo
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 between B and C. ????
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| robin082006
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C, lung abcess
this patient may have pneumonia due to foreign body obstruction---> lung abcess (high fever, decreased breath sound, dullness, not effective with antibiotics), this patient needs bronchoscopy to evaluate obstruction and remove it and drainage also.
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| DrVirgo
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Thanks, why NOT empyema?
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| robin082006
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why NOT empyema? what make you think empyema?
Empyema usually occurs after pleural invasive trauma or procedures (thoracentesis, rib fracture..), spontaneous empyema is rare
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| drxyz
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empyema
empyema develops afer partially treated pneuminia.
lung abcess--productive cough with foul smelling sputum production.
...?
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| Justice
Forum Fanatic
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B
Foreign body obstruction would not give abscess but rather result in atelectrasis... It also would begin suddenly, but we do not have this history... Oral ab-therapy might not be adequate to treat this child, and as a result - empyema complicating the major course of pneumonia...
Finally, most child oral ab preps in US are made as syrups...
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| liliaeliz
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B
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| dermatology
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2 choices empyema and abcess... ....
i will go for empyema .......
non productive cough -- not abcess.. ( 4 days too long to have dry cough )
dull c-v angle--- has to have any fluid or pus in pleural cavity which gives this note .... abscess will not particularly give dulll note at angle unless it is at level of angle.....
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| elitoki
Forum Guru
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B. 
The most common complication of pneumonia is pleural effusion.
Empyema is is a collection of pus within the pleural cavity.
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