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* q2 block1
 #137968  
  sith - 11/12/06 14:38
 
  2. A 5-year-old girl is brought to the physician because of temperatures to 40 C (104 F), tachypnea, and a nonproductive cough for 12 hours. Four days ago she was treated with an oral antibiotic for suspected pneumococcal pneumonia. Examination shows diminished breath sounds over the lower right lung fields and dullness to percussion at the right costophrenic angle. Which of the following is the most likely diagnosis?

A
) Bronchopleural fistula

B
) Empyema

C
) Lung abscess

D
) Pleurodynia

E
) Pneumothorax
ans B
 
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* Re:q2 block1
#555758
  leogeorge - 11/12/06 14:53
 
  why isnt it C
) Lung abscess

 
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* Re:q2 block1
#555761
  malak - 11/12/06 14:54
 
  Empyema  
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* Re:q2 block1
#555770
  sith - 11/12/06 14:59
 
  coz lung abscess doesnt present this way and empyema is a common complication after pneumonia  
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* Re:q2 block1
#555796
  nida - 11/12/06 15:10
 
  C.  
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* Re:q2 block1
#556422
  reddy704 - 11/13/06 09:57
 
  it cannot be lung abcess most coomon presentation of lung abcess is alcoholic or hospitalised aptient with fever and chills and rigor and heoptisis and maily there will be periodontal disease becos abcess is caused by aspiration of infected mataerial and it is caused by anerobes so the abcess will be on the upper lobes and not in lower lobes this patient is young and he is not beddridden nor undergone a anesthetic procedure in short no etilogy pointing towards aspiration.  
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