PT  - JOURNAL ARTICLE
AU  - Valentina Gesuete
AU  - Simona Salis
AU  - Giulia Gortani
AU  - Egidio Barbi
TI  - Child presenting with breathlessness 1 month after cardiac surgery
AID  - 10.1136/archdischild-2018-316156
DP  - 2019 Feb 01
TA  - Archives of disease in childhood - Education & practice edition
PG  - edpract-2018-316156
4099  - http://ep.bmj.com/content/early/2019/02/01/archdischild-2018-316156.short
4100  - http://ep.bmj.com/content/early/2019/02/01/archdischild-2018-316156.full
AB  - QUESTIONS 1. What is your diagnosis?Atelectasis.Pneumothorax.Right pleural effusion.Pneumonia.QUESTIONS 2. Considering the result of the chest X-ray and the clinical conditions, which treatment is required for this patient?Antibiotic treatment.Video-assisted thoracoscopy.Urgent thoracentesis.Medical treatment with diuretics and antibiotic. 3. Which additional investigations should be carried out?Lung and heart MRI scan.Cardiac evaluation with echocardiogram.Pulmonary CT.Bronchoscopy with bronchoalveolar lavage. 4. Which is the most likely cause of the pleural effusion?Heart failure.Pulmonary infection.A+B.Damage to the thoracic duct. Answers can be found on page 2.