03-25-2010, 10:11 AM
2. A 5-year-old girl is brought to the physician because of temperatures to 40 C (104 F), tachypnea,
and a nonproductive cough for 12 hours. Four days ago she was treated with an oral antibiotic for
suspected pneumococcal pneumonia. Examination shows diminished breath sounds over the lower
right lung fields and dullness to percussion at the right costophrenic angle. Which of the following is
the most likely diagnosis?
A ) Bronchopleural fistula
B ) Empyema
C ) Lung abscess
D ) Pleurodynia
E ) Pneumothorax
and a nonproductive cough for 12 hours. Four days ago she was treated with an oral antibiotic for
suspected pneumococcal pneumonia. Examination shows diminished breath sounds over the lower
right lung fields and dullness to percussion at the right costophrenic angle. Which of the following is
the most likely diagnosis?
A ) Bronchopleural fistula
B ) Empyema
C ) Lung abscess
D ) Pleurodynia
E ) Pneumothorax