Effusion - A 56 Year Old Man with Pleural Effusion Andrea...

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Unformatted text preview: A 56 Year Old Man with Pleural Effusion Andrea Glassberg, MD, PhD October 29, 2002 Case Presentation A 56 year old man presented to the emergency department complaining of pleuritic chest pain and dyspnea on exertion. Three weeks prior to admission he developed left sided pleuritic chest pain, subjective fevers, chills, lightheadedness, and night sweats. He denied cough, wheezing or sputum production. One week prior to admission he noted dyspnea on exertion. Past Medical History Erosive arthritis (presumed to be RA) Spinal compression fractures (due to prednisone) Depression Chronic Pain Physical Exam Emaciated middle aged WM, NAD. 98.4, 103/61, HR 69, RR 18, O2 sat 98%RA No lymphadenopathy Slightly decreased BS left lower lung field Decreased tactile fremitus left base Single rheumatoid nodule left 3 rd toe Labs WBC 10.5 (8.18N) HCT 38 PLT 254 Na 137 LFTs WNL Protein 6.2 INR 1.0 Troponin-I negative LDH 119 RF + Additional Information?Additional Information?...
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This note was uploaded on 01/02/2012 for the course STEP 1 taught by Professor Dr.aslam during the Fall '11 term at Montgomery College.

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Effusion - A 56 Year Old Man with Pleural Effusion Andrea...

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