41 year old female with pleural effusion
A 41 year old female with C/o fever since 10- 15 days C/o loss of appetite since 10- 15 days C/o generalised weakness since 10-15 days Cough with expectoration since 10-15 days HOPI: The patient was apparently asymptomatic 15 days back then she developed fever low grade a/w loss of appetite and genralised waekness.Cough with expectoration. No H/o weight loss No H/o night sweats, evening rise of temperature. Past history Not a k/c/o DM HTN TB CAD CVA Epilepsy Asthma Personal history Diet: Mixed Appetite: Decreased since 15 days B&B: Regular Addictions: No addictions O/E General examination Patient is C/C BP: 120/80 mm hg PR: 90 bpm RR: 19 cpm Temp: 97 F GRBS: 121 mg/dl SpO2: 98 % @ RA Systemic examination CVS-S1S2 +, No Murmurs RS- BAE+ , left ISA Crepts + P/A: Soft , NT CNS: No FND INVESTIGATIONS ESR =90 PLEURAL FLUID T.C:- 12,000 CELLS D.C :- 80% PLEURAL FLUID SUGARS - 97 PLEURAL FLUID PROTEIN = 5.5 SERUM PROTEIN = 7.8 SERUM LDH = 145 2D ECHO ON 26/1/2022:- IMPRESSION:
