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Episode 22 Type 2 Diabetes Mellitus

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Intro: Rock Christmas/ Christmas Music by tramp963

Outro: KI Instrumental (Rock Malmsteen-Style) by Lyrium-2025

Courtesy of Pixabay for non-commercial educational use

Produced by: Todd Fredricks DO MSS

Edited by: Todd Fredricks DO MSS

Questions and Answers from Episode 21

1. A 62-year-old man presents with fever, productive cough, and pleuritic chest pain. Chest X-ray reveals a moderate right-sided pleural effusion. Thoracentesis is performed, and pleural fluid analysis shows:

• pH: 6.95
• Glucose: 32 mg/dL
• LDH: 1,200 IU/L
• Gram stain: negative

Which of the following is the most appropriate next step in management?

C. Insert a chest tube for drainage

2. A 55-year-old woman is admitted with pneumonia and a suspected pleural effusion. A contrast-enhanced chest CT reveals thickened, enhancing visceral and parietal pleura with a fluid collection measuring 35 mm. Which of the following radiologic signs is most consistent with this finding?

B. Split pleura sign

3. A 70-year-old man is diagnosed with hospital-acquired empyema. Pleural fluid culture grows methicillin-resistant Staphylococcus aureus (MRSA). According to recent studies, which of the following statements best describes the prognosis associated with this organism?

C. It is associated with significantly increased 1-year mortality

Paper for next week

Giuseppe Maltese, Sybil A McAuley, Steven Trawley, Alan J Sinclair, Ageing well with diabetes: the role of technology, Diabetologia (2024) 67:2085–2102

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