MedBugs: SAQ #77

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Case: Acute dyspnoea

An 80-year-old gentleman presents with acute dyspnoea, onset 2 hours ago. His past historyis unclear. On arrival he is placed on non-invasive ventilation. His vital signs are :

HR 107, BP 110/70, RR 24, Sats 95% on FiO2 50%, T 36.4

A portable CXR is taken soon atier his arrival.

1. List (3) abnormal findings on this CXR image. 3 marks

2. State the immediate change in your initial management required atier these CXR findings 1 mark

3. In general, list (6) causes for the most important findings on this CXR. 6 marks

Your resident asks about the utilisation of point of care ultrasound in this patient.

4. Complete the table below, listing the different lung ultrasound findings you would expect in the right and leti chest for this patient. 2 marks

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Case: Acute dyspnoea

1. List (3) abnormal findings on this CXR image. 3 marks

2. State the immediate change in your initial management required atier these CXR findings 1 mark

3. In general, list (6) causes for the most important findings on this CXR. 6 marks

4. Complete the table below, listing the different lung ultrasound findings you would expect in the right and leti chest for this patient. 2 marks

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