A 60-year-old man has a 5-day history of productive cough and shortness of breath with exertion. In addition to a normal left lung base, examination of the chest in the area of the right lung base shows:
Breath sounds: bronchial; Percussion note:dull; Tactile fremitus:increased; Adventitious sounds:crackles
Which of the following is the most likely diagnosis?

(A) Asthmatic bronchitis (B) Bullous emphysema © Chronic bronchitis
(D) Congestive heart failure (E) Lobar pneumonia (F) Pleural effusion
(G) Pleuritis (H) Pneumothorax (I) Pulmonary embolism

Findings of consolidation, pneumonia would be it but i was expecting a history of fever to go with it.

Pleural effusion or pulmonay embolism or I dont know.

I will say pneumonia but not convinced,give us some Ix


make it easy>>>سهلها

The examination goes most likely with lobar pneumonia,but where is the fever?

Lobar pneumonia

the correct answer is lobar pneumonia

thanx 4 ur participations...



Mahmood

oh my godness......
yesterday I couldnt sleep because I could not believe it is simple case of pneumonia

عبالي اكو لوفه بالسئوال
يله هم احسن من الجكاير

هي الكيسات لو حيل صعبه مثل بروكن هارت سندرم لو حيل سهله مثل نيمونيا..ماكو وسط؟؟؟..والله راح يكوم عندي القولون
على العموم الف شكر للجميع وتسلمون لمساهماتكم الحلوه

first_the aim of any case is to switch our mind on ...so we can think in all possibilities even the simple one...
many of us give wronge Dx because they dont put the simple DDX in their mind

second..pneumonia can wear 10 masks ...so it isnt simple as u think..
may be its common ..but it can be difficult when it wear arare mask..

thanx 4 u Dr.Nader