A 65-year-old patient with a history of exposure to metal du…

A 65-year-old patient with a history of exposure to metal dust comes in to the emergency department with chronic cough and exertional dyspnea. High Ressonance CT shows bibasilar, peripheral reticular abnormalities with focal honeycomb cystic changes. What is the most likely diagnosis?

A patient with pancreatitis and pulmonary edema is placed on…

A patient with pancreatitis and pulmonary edema is placed on a mechanical ventilator. The initial ABG results on 100% oxygen are: pH 7.36, PaCO2 42 mmHg, PaO2 173 mmHg, HCO3 23 mEq/L with a calculated A-a gradient of 438 mmHg. Based on the A-a gradient, what pathophysiology is most likely?