A Patient with lack of resolution of persistent cough, shortness of breath and now complains of Lack of appetite
The complete case can be found here https://a-blog-by-adityarayilla.blogspot.com/2020/06/left-sided-pleural-effusion-case.html?m=1 What are the possible differential diagnoses? chronic obstructive pulmonary disease (COPD)asthma, pulmonary fibrosis Congestive heart failure pulmonary thromboembolism pneumonia neuromuscular disease left pleural effusion points in favour and against each diagnosis at this point of time. pleural effusion heaviness on left side cheast pain shortness of breath decrease breath sounds on left side congestive heart failure pedal edema dyspnea decreased urine output against: no orthopnea or PND chronic obstructive pulmonary disease dyspnea beedi smoker pneumonia dyspnea against: patient is afebrile pulmonary thromboenbolism dyspnea against: not sudden oncet, no embolic risk factors renal failure reference: davidson principles and practice of medicine chapter on respiratory medine