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Exam questionKROK 2Medicine · 2021

A 52-year-old man had an acute onset of the disease after an overexposure to cold that occurred 3 weeks ago. He complains of cough, high body temperature of 30.5°C chest pain on the right, and marked dyspnea. His pulse is 120/min., blood pressure 90/60 mm Hg, respiration rate 48/min. Acrocyanosis is observed. Objectively, the right side of his chest lags behind during breathing. Percussion detects a pulmonary dullness on the right. Auscultation detects no breathing over the right lung. X-ray shows on the right a shadow with fuzzy upper margin to the level of rib II. Exudate contains 90% of neutrophils. What is the most likely. diagnosis in this case?

Answer options

  1. Exudative tuberculous pleurisy
  2. Infiltrative tuberculosis of the right lung
  3. Lung cancer
  4. Croupous pneumonia
  5. Pleural empyema
Correct answer

Pleural empyema

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