A 25-year-old woman presents to the GP because of a one-week history of shortness of breath and discomfort in her abdomen. She describes a pulling sensation in her groin on the left. Vitals are stable and within normal limits. Physical examination shows a distended abdomen with a fluid wave. ECG shows no abnormalities. CXR shows a fluid collection in the right hemithorax. What’s the most likely diagnosis?
Malignant pleural effusion due to metastatic malignancy
Ovarian fibroma
Parapneumonic effusion
Pseudomyxoma peritonei
Spontaneous bacterial peritonitis with pulmonary extension
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Cut-to-the-chase Answer (0:25):
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HY USMLE Answer (4:05):
