A 34-year-old man presents with fever and difficulty breathing after six days of cough and rhinorrhoea. He weighs 136 kg and has never seen a doctor. His chest X-ray is shown below.
Chest X-ray.
List three radiographic abnormalities on the X-ray.
(Marked out of 3.0)
/ 3
List and justify four investigations that could help identify the cause of this presentation.
(Marked out of 4.0)
/ 4
His vital signs are shown below and you plan to intubate him. State four difficulties you may encounter establishing effective mechanical ventilation, and outline how you will manage each.
(Marked out of 4.0)
| Finding |
Result |
| Heart rate |
130/min |
| Blood pressure |
110/70 mmHg |
| Respiratory rate |
36/min |
| Oxygen saturation |
88% on 15 L/min oxygen via non-rebreather mask |
/ 4
Total Score: 0 / 11
Percentage: 0%
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