Respiratory System

{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"This elderly gentleman has presented with chronic dyspnea and chest pain associated with examination findings suggestive of a unilateral right-sided pleural effusion. This clinical suspicion is confirmed by the chest x-ray.\n\nHis ill appearance and cachexia additionally suggest that the underlying disease process is profound in nature.\n\nConsidering his age, the possibility of a primary lung malignancy or pulmonary secondaries must be considered. Pulmonary tuberculosis is another potential diagnosis.\n\nHowever, a myriad of other conditions can also give rise to a similar presentation. Thus, it makes sense to proceed directly to a diagnostic pleurocentesis, which will narrow down the differentials considerably.\n\nAnalysis of the pleural fluid sh"}]}

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