Author Question: What is a common cause of persistent fever in intensive care unit (ICU) patients with pneumo-nia? ... (Read 20 times)

melina_rosy · **on:** Jul 16, 2018

What is a common cause of persistent fever in intensive care unit (ICU) patients with pneumo-nia?

a. Congestive heart failure
b. Most exudative effusions
c. Parapneumonic effusions
d. Transudative effusions

Question 2

What is the most common cause of pleural effusion that occurs due to lymphatic obstruction within the mediastinum?

a. Cancer that has metastasized to the medi-astinum
b. Hepatic hydrothorax
c. Malignant pleural effusion
d. Tuberculous pleurisy

emsimon14 · **Reply #1 on:** Jul 16, 2018

Answer to Question 1

ANS: C
Parapneumonic effusions are common causes of persistent fever among ICU patients with pneu-monia. Sampling by thoracentesis is commonly performed to exclude empyema. Pleural fluid drainage can improve ventilation if the fluid volume is large.

Answer to Question 2

ANS: A
Lymphatic obstruction within the mediastinum causes poor pleural fluid egress from the pleural space, although the pleural space is otherwise normal. The most common condition that causes this abnormality is cancer that metastasizes to the mediastinum.