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Short Answer Questions for ED Fellowship Study

Case: Epigastric pain and progressive dyspnoea

A 48-year-old man, well-known to your department with alcohol dependence and chronic pancreatitis, presents with acute epigastric pain. He has had some analgesia and bloods are pending. While waiting to be seen, he is noted to become progressively dyspneic and you are asked to review him urgently. Vitals are as follows : GCS 15, HR 110, BP 150/95, RR 36 with mod increased WOB, Sats 92% 4L/min O2

Epigastric pain and progressive dyspnoea

1. List (2) relevant findings. (2 marks) 2 marks

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2. What is the most likely cause of these findings? (1 mark) 1 mark

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3. Complete the table below listing (5) causes of cardiogenic and noncardiogenic pulmonary oedema (10 marks) (Table 5.3.1 + 5.3.2 Cameron) 10 marks

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The patient continues to deteriorate and is intubated.

4. What ventilation strategy would you employ? (5 marks) (ARDSnet protocol) 5 marks

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This case forms part of a collaborative marking project designed to support fellowship preparation. In the week leading up to each tutorial, you can contribute answers to any active case. If you contribute, your answers may be reviewed, marked, and used to refine the model answers during the weekly fellowship teaching sessions.

All responses are displayed anonymously or using anonymised avatars. You remain in full control of your answers and may withdraw them at any time.

Your personal results and updated model answers become available the day after the tutorial.

After the tutorial you can still do the case and self-mark your answers, but your answers will not be included in the group review.