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Old 03-05-2013
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Default contraindications to thoracocentesis

A 68-year-old man with history of chronic obstructive pulmonary disease presents with increasing shortness of breath and increasing sputum production over the past 5 days. The patient also has history of atrial fibrillation for which he is on beta blocker and aspirin. Physical examination reveals a fever of 102°F, scattered wheezes and reduced breath sounds at the right lung base. He is awake and oriented to place, person and time. EKG shows atrial fibrillation that is rate controlled. Chest X-ray reveals a new right sided pleural effusion. A diagnostic thoracentesis is planned. Which of the following is a contraindication for thoracentesis in this patient?

a. Fever > 101F

b. A new right sided effusion

c. Severe left lung disease

d. Atrial Fibrillation

e. Age
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Old 03-06-2013
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Default c. Severe left lung disease

c. Severe left lung disease
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stfidel (03-06-2013)
Old 03-06-2013
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If you manage to cause a pneumothorax on right side he don't have much left to breath with
A man doesn't know what he knows until he knows what he doesn't know.
“What is man? He's just a collection of chemicals with delusions of grandeur.”
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