BONUS: A patient who has had a recent pulmonary infection ha…
BONUS: A patient who has had a recent pulmonary infection has been sent by his physician to undergo a complete pulmonary function test (PFT). He states he is still coughing small amount of sputum and has not reached his full exertional capacity. Which of the following PFT findings would be expected if he still had some residual infection? I. increased FEV1 II. increased FVC III. decreased DLCO IV. decreased IC
Read DetailsLeonard Bean, is a 43 year old male who lives in west Texas…
Leonard Bean, is a 43 year old male who lives in west Texas arid region presents in the ED with rapidly spreading multilobar consolidation. He cools his home with a “swamp-cooling” air conditioner. This is typical for what type of pneumonia?
Read DetailsTapenja Lott is a 44 year old lighting consultant with no hi…
Tapenja Lott is a 44 year old lighting consultant with no history of lung disease. Over the last several days she has experienced increasing dyspnea, malaise and productive cough. She presented to the emergency department with the following VS: HR 136 bpm, B/P 138/84, RR 26 bpm which are shallow with mild to moderate accessory muscle use, temp 39.8 C. Breath sounds reveal bilateral inspiratory and expiratory crackles, CXR reveals large areas of RLL and RML consolidation. She has been diagnosed with pneumonia. ABGs are drawn on an FiO2 of 0.28:pH 7.51PaCO2 28 torrPaO2 43 torrHCO3 20 mEq/LSaO2 68%Which of the following best describes her arterial blood gas?
Read DetailsA patient with no history of underlying lung disease present…
A patient with no history of underlying lung disease presents in the ED with dyspnea and productive cough. Pneumonia is diagnosed based on physical exam and radiographic findings. The patient is tachypnic and tachycardic but still alert and cooperative in spite of his distress. If a room air ABG sample was obtained, which result would fit this case description?
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