A 34 year old female presents to your ED with right sided chest pain and increasing shortness of breath. She has a history of chronic alcohol abuse and recurrent pancreatitis. A CXR performed shows a large right sided pleural effusion. Aspiration of the effusion was performed.
Total Protein 3.6
WCC 4000, with 90% Eosinophils
Gram stain -ve
Total Protein 5.3
1. What are the possible findings on Chest examination?
2. Describe the results
3. Give 5 differential diagnosis, with the most likely diagnosis in this patient
4. In general, what are the indications for urgent drainage of a pleural effusion?