EMDaily Board Review Question 1

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Question 1 of 1

The chest CT findings of your patient include a large multiloculated pleural effusion with evidence of free-floating fibrin stranding and enhancing rim around the affect lung and visceral pleura. What is the correct treatment strategy for this patient?

Intravenous antibiotics and small-bore tube thoracostomy

Intravenous antibiotics

Intravenous antibiotics and large-bore tube thoracostomy with intrapleural fibrinolytics

Intravenous antibiotics and consultation to thoracic surgery for video-assisted thoracoscopic surgery (VATS)