Lets Think More
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Lets Think More| m_thebrave |
 Posted: September 27, 2008 01:47 pm
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Palpating...  Group: Medical Students Posts: 120 Member No.: 1188 Joined: August 09, 2007  |
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 |
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| Samer Q N |
Posted: September 27, 2008 02:15 pm
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Inspecting... Group: Graduated Doctors Posts: 68 Member No.: 54 Joined: August 31, 2005 |
Findings of consolidation, pneumonia would be it but i was expecting a history of fever to go with it.
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| The Knight |
Posted: September 27, 2008 03:10 pm
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Auscultating... Group: Graduated Doctors Posts: 620 Member No.: 1119 Joined: July 13, 2007 |
Pleural effusion or pulmonay embolism or I dont know.
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| Nader |
Posted: September 27, 2008 05:13 pm
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Taking History... Group: Graduated Doctors Posts: 30 Member No.: 1476 Joined: February 26, 2008 |
I will say pneumonia but not convinced,give us some Ix
make it easy>>>سهلها |
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| bloodstone |
Posted: September 27, 2008 09:29 pm
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Diagnosing... Group: Graduated Doctors Posts: 1597 Member No.: 99 Joined: September 26, 2005 |
The examination goes most likely with lobar pneumonia,but where is the fever?
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| Hour_Glass |
Posted: September 28, 2008 02:21 am
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Auscultating... Group: Graduated Doctors Posts: 481 Member No.: 105 Joined: September 28, 2005 |
Lobar pneumonia
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| m_thebrave |
Posted: September 28, 2008 02:10 pm
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Palpating... Group: Medical Students Posts: 120 Member No.: 1188 Joined: August 09, 2007 |
the correct answer is lobar pneumonia
thanx 4 ur participations... Mahmood |
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| Nader |
Posted: September 28, 2008 02:24 pm
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Taking History... Group: Graduated Doctors Posts: 30 Member No.: 1476 Joined: February 26, 2008 |
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 |
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| m_thebrave |
Posted: September 28, 2008 02:53 pm
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Palpating... Group: Medical Students Posts: 120 Member No.: 1188 Joined: August 09, 2007 |
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 |
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