MedBugs: SAQ #589

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Case: Septic Respiratory Failure

A 68-year-old previously well woman is brought to your tertiary emergency department with fevers and breathlessness. Her rapid COVID-19 swab is negative.

On arrival her vital signs are: HR 135, BP 85/35, temperature 39.5, SpO2 84% on 15 L oxygen.

Full blood count: Hb 81 g/L (135-175), WCC 102 x 10^9/L (3.5-10.0), platelets 56 x 10^9/L (150-400).

She undergoes RSI and a mobile film is taken post-intubation.

1. List (2) relevant findings on the chest X-ray. 2 marks

2. List (4) possible causes of the chest X-ray findings. 4 marks

3. List (6) prioritised steps in your immediate (next 15 minutes) management, giving doses and end-points where necessary. Provide your rationale for each. 6 marks

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Case: Septic Respiratory Failure

1. List (2) relevant findings on the chest X-ray. 2 marks

2. List (4) possible causes of the chest X-ray findings. 4 marks

3. List (6) prioritised steps in your immediate (next 15 minutes) management, giving doses and end-points where necessary. Provide your rationale for each. 6 marks

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