MEDizzy
MEDizzy
Saifullah Liaqat
Saifullah Liaqatalmost 4 years ago
Hello everyone
Patient 60 years old known case of ischemic heart

Hello everyone Patient 60 years old known case of ischemic heart

Hello everyone Patient 60 years old known case of ischemic heart disease went under coronary artery bypass graft 3 years ago presented with shortness of breath at rest 2 weeks ago . Xray attached In which there was pleural effusion. Chest tube inserted . 2000 ml of pleural fluid drained. After pleural tap xray not done. Patient is on anti-ischemic medications Aspirin+ clopidogrel Ace inhibitor Beta blockers Anti cholesterol ( rovastatin ) Vit 6 Angisid She is hypertensive And non diabetic Now the pulmonologist started them Anti tuberculus therapy started Pleural fluid culture and sensitivity and zn stain negative for tb ( acid fast bacilli ) So now what is the cause of massive pleural effusion. And why the respected doctor started anti- tb drugs. Give your expert opinion about further management plan . Thanks

Source: https://bnc.lt/z53c/gWbWCZI3wjb
294
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almost 4 years ago

C/S should be done

almost 4 years ago

Xray is not attached

almost 4 years ago

Also pt needs to be examined clinically

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