Quiz 20 Context:
A 19-year-old female presents to the emergency room with
a complaint of dyspnea and a non-productive cough, which have
both slowly progressed over the past 2 weeks. The patient was
in good health until several weeks ago when she was involved in
an automobile accident. This resulted in significant traumatic
injury and she underwent 3 separate operative procedures to address
thoracic and abdominal sequelae from the trauma. She was only
recently discharged from the hospital following the most recent
surgery. The remainder of her history is noncontributory.
Physical examination reveals dullness to percussion at the left base.
A chest film is obtained, and it reveals a large left pleural effusion.
The patient subsequently undergoes diagnostic thoracentesis. The fluid obtained is pictured above. Laboratory examination of the fluid reveals a triglyceride level of 119 mg/dL.
Sorry, that is not the most likely answer. Try Again.
The following are all common causes of this condition EXCEPT:
- Trauma (including surgery)
- Subclavian vein thrombosis
- Intestinal lymphangiectasia