Question of the Week # 344

344) A 65 year old man with history of smoking is recently diagnosed with Stage IA non-small cell lung cancer of the right lung. He has no other significant past medical history. He was subsequently admitted and underwent wedge lower left pulmonary resection via. Video-assisted thoracic surgery (VATS). On the 2nd postoperative day, a chest x-ray reveals right sided pleural effusion was detected on chest X-Ray. On examination, he is afebrile.  Breath sounds are decreased on the right side and there is dullness to auscultation. A thoracentesis is performed and a chest tube is inserted. Which of the following is most likely to be found on this pleural fluid analysis?

A) Low glucose

B) Elevated LDH > 1000 IU/L

C) High Amylase

D) Cholesterol level > 200mg%

E) Triglycerides > 110mg%

10 Thoughts on “Question of the Week # 344

  1. shru on April 7, 2012 at 8:14 am said:

    A) Low glucose

  2. E
    Chylothorax post pneumonectomy or toracic surgery? A, B, C, D..are exudate causes…

  3. lana colden on April 9, 2012 at 1:50 pm said:

    When it will be live clinical review live and can I listen you lectures on I phone lana

  4. drsamir on April 9, 2012 at 1:54 pm said:

    elevated ldh

  5. Awsab on April 10, 2012 at 6:41 pm said:

    B. elevated LDH

  6. sandy on April 16, 2012 at 5:36 pm said:

    i also thought E, chylothorax….there are no signs of infection…

  7. sandy on April 16, 2012 at 5:37 pm said:

    i thought E, there are no signs of infection…..

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