Author: Anonymous

Using the patient scenario from the previous question:  A female was admitted to the ICU yesterday due to acute onset of dyspnea and hypoxemia secondary to pneumonia. Last night, the patient required emergent intubation due to hypoxemic respiratory failure. The patient is now on full ventilatory support, PEEP of 8 cmH2O, and a 0.75 FiO2. This morning’s radiologic and laboratory results reveal the following: Influenza A and B:  positive CXR:  presence of diffuse, bilateral opacities worsened from previous exam consistent with pneumonia; ETT adequately positioned. There is no evidence of heart failure, cardiomegaly,  or pleural effusions. No other active disease processes are present. ABG:  pH 7.32    PaCO2 50 mmHg    PaO2 50 mmHg    HCO3- 24 mEq/L   Later, during ICU rounding, the pulmonologist asks your opinion of the patient’s current condition. The most appropriate response is:

In reference to the CXR below, which of the following findings are present? 325 L pleural effusion.jpg 

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