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

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

Intravenous antibiotics and small-bore tube thoracostomy

Intravenous antibiotics and large-bore tube thoracostomy with intrapleural fibrinolytics