Aquifer Internal Medicine Case 29 with perfect answers 2024

hx eval for febrile respiratory illness correct answersif pt takes temperature HIV status TB smoking alcohol consumption IVDU pulmonary findings: pleural effusion correct answersdecreased breath sounds, dullness to percussion, decreased vocal and tactile fremitus pulmonary findings: consolidation correct answerscrackles bronchial breath sounds egophony whispered pectoriloquy (whispered sounds louder) ego phony (E-to-A) when pt speaks letter E hear letter A increased vocal and tactile remits informed consent correct answersreason alternate methods complications level of pt's understanding exudative effusions assoc with correct answersmalignancy bacterial infection TB connective tissue disorders trauma PE/infarction radiation Transudative effusions are caused by? correct answersincreased hydrostatic pressure & decreased plasma oncotic pressure CHF, cirrhosis, nephrotic syndrome, hypothyroid-myxedema, constrictive pericarditis pleural fluid Exudate correct answerspl protein/serum protein >0.5; Pl LDH/serum LDH >0.6; pl LDH 2/3 of the upper limi of serum LDH tachypnea causes correct answersexertion fever anxiety