In a sample obtained by puncture of pleural cavity

5. In a sample obtained by puncture of pleural cavity defined by: relative density -
1.012, protein - 27 g / l, the Rivalt reaction - negative, glucose - 5.25 mmol / L,
WBC - 3-5 in f/v, erythrocytes - 2-3 in f/v. Determine the nature of the liquid:
A. exudate
B. transudate +
S. chylous fluid
D. hemorrhagic fluid
E. purulent fluid
6. The patient is 32 years old, complaining of dry cough, pain in the right side of
the chest, increasing at breathing and coughing, sweating at night. Pain decreases
in supine position on the right side. Six days ago was a trauma of the chest.
Objectively - t0 - 37,1
0
C, RR - 18/min., Pulse – 84 bpm., Rhythmic, BP - 120/80
mmHg. The chest of the normal form, the right side a little delayed during
breathing. Percussion over both lung fields – clear lung sound. Vesicular breathing,
at the inferio-lateral part of right lung during inhalation and exhalation auscultated
low-pitched sound, that was getting stronger at phonendoscope pressing. Chest X-
ray and an electrocardiogram revealed no pathology. The most likely diagnosis is:
7. The patient is 42 years old, addressed to the clinic with complaints of cough,
pain in his right side during breathing, weakness, increased T to 37.8
0
C. During the
initial inspection revealed: RR – 21bpm, dullness on the right lower corner of the
scapula, auscultation - crepitation. On chest X-ray - infiltrate in the lower lobe of
the right lung. Primary diagnosis: Basic disease: community-acquired low-lobe
right sided pneumonia II clinical group, mild severity, LI (lung insufficiency) I.
Associated disease: coronary artery disease, stable angina FC I, CH I. The patient
was at home, took Zinacef (Cefuroxime) orally. After 5 days noticed increased
dyspnea. Objectively: T - 37,5 0 C, from the right under scapula: severe weakening
of voice trembling, dull percussion sound, vesicular breath sharply reduced. What
complication can be assumed: