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Exam questionKROK 1Medicine · 2017

A 30-year-old man complains of suffocation, heaviness in the chest on the right, general weakness. Body temperature is 38,9℃ Objectively the right side of the chest lags behind the left side during respiration. Pleurocentesis yielded exudate. What is the leading factor of exudation in the patient?

Answer options

  1. Increased permeability of the vessel wall
  2. Increased blood pressure
  3. Hypoproteinemia
  4. Erythrocyte aggregation
  5. Decreased resorption of pleural fluid
Correct answer

Increased permeability of the vessel wall

Explanation

Increase vascular permeability will lead to a redistribution of water into the lung tissue the earliest symptom of pulmonary edema is shortness of breath, in the late stage – suffocation. Thoracentesis (Pleuronectes) a procedure to remove fluid from the space between the lungs and the chest wall called the pleural space.

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