A patient presented with pain on the left side of the chest. On examination, there was dullness on percussion on left infra-axillary area. X-ray Chest showed left opaque hemithorax. Which one of the following is an indication for tube thoracentesis in this case?
Pleural fluid glucose < 60 mg/dL
For parapneumonic effusion/empyema, indications for chest tube (tube thoracostomy) include pleural fluid pH < 7.2, glucose < 60 mg/dL, LDH > 1000 IU/L, positive Gram stain/culture, or frank pus. Straw-coloured fluid, pH > 7.2, and LDH < 600 are reassuring findings not requiring drainage. Pleural fluid glucose < 60 mg/dL indicates a complicated effusion needing tube thoracentesis.
According to the WHO clinical criteria, which of the following clinical signs are indicative of 'severe pneumonia or very severe disease' in children aged 2 months to 5 years?
1. Convulsions
2. Lower chest indrawing
3. Inability to feed
4. Stridor
Select the correct answer using the code given below.