Short case presentation - Pleural effusion




Sir, on examination of the respiratory system of this gentleman;

His respiratory rate was 18 per minute.

Trachea was deviated to the right side. Apex was felt 2 cm medial to the left midclavicular line.

All my positive findings were confined to the left lower zone. There was,

Reduced chest expansion

Reduced vocal fremitus

Stony dull percussion note and

Absent breath sounds with reduced vocal resonance.

I could not hear any added breath sounds.

The rest of the lung fields were clinically normal with vesicular breath sounds.

These findings are compatible with a clinical diagnosis of a left sided moderate pleural effusion with mediastinal shift to the right side.











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