5 Questions
In the case of a pregnant woman presenting with SOB and high RR, with no leg symptoms or x-ray mentioned, how should the diagnosis be made?
V/Q scan
What predicts the severity of illness in a patient presenting with fever and SOB?
SOFA
In a case of a patient admitted to the ICU due to asthma exacerbation and receiving SABA, Steroid, and Theophylline infusion, who becomes restless and agitated, what could be the reason?
Hypoxia
In a COPD case, what is the expected outcome of Non-Invasive Ventilation (NIV)?
pH more than 7.24 in 1 hour
What is the diagnosis when a patient, who has been a smoker for 50 years, presents with SOB and pleural fluid analysis shows LDH ratio of 0.8 and protein ratio of 0.7?
Bronchogenic carcinoma
Study Notes
Diagnosis of a Pregnant Woman with SOB
- In a pregnant woman presenting with shortness of breath (SOB) and high respiratory rate (RR) with no leg symptoms or x-ray mentioned, a diagnosis should be made considering pulmonary embolism (PE) and other possibilities.
Predicting Severity of Illness in Fever and SOB
- The severity of illness in a patient presenting with fever and SOB can be predicted by factors such as hypotension, requirement of vasopressors, presence of acute respiratory distress syndrome (ARDS), and multi-organ dysfunction.
Agitation in an ICU Patient with Asthma Exacerbation
- In a patient admitted to the ICU due to asthma exacerbation, receiving SABA, Steroid, and Theophylline infusion, who becomes restless and agitated, the reason could be Theophylline toxicity, which can cause agitation, seizures, and arrhythmias.
Outcome of Non-Invasive Ventilation (NIV) in COPD
- The expected outcome of Non-Invasive Ventilation (NIV) in a COPD case is to reduce the need for intubation, decrease the length of stay in the ICU, and improve mortality.
Diagnosis of a Smoker with SOB and Pleural Fluid Analysis
- A patient who has been a smoker for 50 years, presenting with SOB and pleural fluid analysis showing LDH ratio of 0.8 and protein ratio of 0.7, is likely to have a diagnosis of exudative pleural effusion, which can be caused by malignancy, infection, or pulmonary embolism.
Test your knowledge of internal medicine with this quiz focusing on pulmonology. Challenge yourself with questions on diagnosing pleural fluid analysis, managing asthma exacerbation, and the expected outcome of non-invasive ventilation for COPD cases.
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