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A 56-year-old woman was admitted to the hospital because of a persistent left-sided pleural effusion.
The patient had a history of rheumatoid arthritis, which had become disabling about two years before the current admission. She had otherwise been well until six months before admission, when she entered another hospital because of pleuritic left-sided chest pain. Analysis of a specimen of arterial blood obtained while the patient was breathing ambient air revealed that the partial pressure of oxygen was 66 mm Hg, the partial pressure of carbon dioxide 24 mm Hg, and the pH 7.46. The urine was normal, and cultures
Differential Diagnosis
Clinical Diagnosis
Dr. Deborah A. Quinn's Diagnosis
Pathological Discussion
Anatomical Diagnosis
References
Related Letters:
Case 8-2002: Pleural Effusion
Trivedi N., Popkin J., Jiménez D., Díaz G., Pérez-Rodríguez E.
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N Engl J Med 2002;
347:147, Jul 11, 2002.
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