The Rational Clinical Examination
David L. Simel, Drummond Rennie
Pleural Effusion
Camilla L. Wong, Jayna Holroyd-Leduc, Sharon E. Straus
A 57-year-old woman with a history of asthma, hypertension, and dyslipidemia presents to the...
Topics Discussed:
asthma, dyspnea, hypertension, pleural effusion, pneumonia, pyrexia
Excerpt:
"A 74-year-old man is admitted to the hospital with a 1-week history
of dyspnea, fever, and cough. He has no history of respiratory disease
but has a 40 pack-year smoking history. His respiratory examination
reveals dullness to conventional percussion and crackles at the
left base. Pneumonia seems likely, for which there is a 20% to
40% probability of an associated pleural effusion.1 Do
physical examination findings change the likelihood that this patient
has a pleural effusion?..."
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