MedBugs: SAQ #481

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Case: Pneumonia

A 30-year-old homeless male presents to your tertiary ED with a productive cough, fever, shortness of breath and haemoptysis. He has a history of IV drug use but no other past medical history. His observations are :

HR 140
BP 90/55
RR 30
Sats 91%RA
T 38°C

1. List (4) pertinent findings on this X-ray. (4 marks) 4 marks

2. List (4) common infectious and (2) non-infectious causes of such an appearance on chest X-ray. (6 marks) 6 marks

3. List and justify (4) other investigations to aid management. (4 marks) 4 marks

4. What are the main steps in the acute management of this patient with appropriate end points or targets. (4 marks) 4 marks

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Case: Pneumonia

1. List (4) pertinent findings on this X-ray. (4 marks) 4 marks

2. List (4) common infectious and (2) non-infectious causes of such an appearance on chest X-ray. (6 marks) 6 marks

3. List and justify (4) other investigations to aid management. (4 marks) 4 marks

4. What are the main steps in the acute management of this patient with appropriate end points or targets. (4 marks) 4 marks

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