A 2-year-old child presents with cough and fever for 1 week following flu-like symptoms. On examination, the child appears well but has decreased air entry and crackles in the righ... A 2-year-old child presents with cough and fever for 1 week following flu-like symptoms. On examination, the child appears well but has decreased air entry and crackles in the right lower lung on auscultation, with stony dullness on percussion just below this finding. Blood pressure is 98/65 mmHg, heart rate is 105/min, respiratory rate is 22/min, temperature is 38.6°C, and oxygen saturation is 95%. Which of the following is the expected finding on chest X-ray?
Understand the Problem
The question presents a clinical scenario of a 2-year-old child with respiratory symptoms and asks for the expected finding on a chest X-ray, given the clinical findings.
Answer
Pleural effusion.
Pleural effusion is the expected finding on the chest X-ray. The patient's symptoms of decreased air entry, crackles in the right lower lung, and stony dullness on percussion are indicative of pleural effusion.
Answer for screen readers
Pleural effusion is the expected finding on the chest X-ray. The patient's symptoms of decreased air entry, crackles in the right lower lung, and stony dullness on percussion are indicative of pleural effusion.
More Information
Pleural effusion is a condition in which excess fluid accumulates in the pleural cavity, the space between the lungs and the chest wall. This can be caused by a variety of factors, including infection, inflammation, and cancer.
Tips
It's easy to confuse the symptoms of different respiratory conditions, so paying close attention to the specific details in the question is important. For example, stony dullness on percussion is a key sign for pleural effusion.
Sources
- Hospital Care for Children - National Department of Health - health.gov.za
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