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Surgery General 93a29b67

In an adult patient with pleural effusion, which of the following is the most appropriate site for pleurocentesis?

A
5th intercostal space in mid clavicular line
B
7th intercostal space in mid axillary line
C
2nd intercostal space adjacent to the sternum
D
10th intercostal space adjacent to the veebral column
High-Yield Explanation
In an adult patient with pleural effusion, pleurocentesis is done by inseing a needle in the 7th intercostals space in the mid axillary line. Safest site for inseion of chest drain is in the triangle: Anterior to mid axillary line Above the level of the nipple Below and lateral to the pectoral is major muscle This will ideally find the fifth intercostals space. Ref: Textbook of Pediatrics Iap By Pahasarathy - Jaypee Brothers, Medical Publisher, 3rd Edition, Pages 459-60; Bailey and Love's Sho Practice of Surgery, 25th Edition, Page 880; Davidson's Principles and Practice of Medicine, 21st Edition, Page 660

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