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Images in emergency medicine
Fluid on the chest
  1. Hazel Morrison,
  2. John Gilbert,
  3. Will Loughborough,
  4. Seelan Pillay
  1. Emergency Department, Stanger Hospital, Stanger, KwaZulu- Natal, South Africa
  1. Correspondence to Dr Hazel Morrison, Emergency Department, Stanger Hospital, Corner of King Shaka and Patterson Street, Stanger, KwaZulu-Natal, South Africa, hazelmorrison{at}

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A 29-year-old man was referred from clinic complaining of worsening dyspnoea, chest pain and weight loss for 1 month. He was HIV positive on antiretroviral medication.

On arrival in our emergency department he was markedly dyspnoeic with a respiratory rate of 42 breaths per minute. Pulse rate was 150 and blood pressure …

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