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Exam questionKROK 2Medicine · 2011

A 19-year-old student has been hospitalized on an emergency basis because of severe dyspnea, pain in the left side of chest. The patient got sick 3 days ago. Objectively: body temperature 38,8°C. Bh - 42/min., hypopnoea. There is dullness of percussion sound on the right of the scapula middle, breathing sounds cannot be auscultated. The left border of heart is displaced outwards by 3 cm. Embryocardia is preent, HR -110/min. The right hypochondrium is painful on palpation. What are the immediate treatment measures in this situation?

Answer options

  1. Urgent puncture of pleural cavity
  2. Administartion of antibiotics of penicillin group
  3. Injection of cardiac glycosides
  4. Injection of lasix
  5. Transfer of the patient to the thoracic surgery department
Correct answer

Urgent puncture of pleural cavity

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