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  #1  
Old 12-14-2012
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Default What's your Diagnosis?

A 27 year old female was involved in an automobile accident. As a result of the accident she sustained a cervical frature. She has no significant PMH prior to the accident. She is stable in a halo vest, has a tracheostomy and is tolerating CPAP during the day while being ventilated on SIMV of 8 during the night. Examination has revealed a C5-C6 level of functioning.

The patient prefers to lie in bed with the head elevated to about 30 degrees. She demonstrates a dyscoordinated breathing pattern. Auscultation reveals diminished breath sounds at bilateral bases with faint bilateral upper chest rhonchii. She is unable to generate an adequate cough. CXR reveals patchy basilar densities and cursory PFT’s demonstrate only 50% predicted VC. She is currently being treated with Albuterol and Theophylline. What's your diagnosis?
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  #2  
Old 12-14-2012
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Lupus.......
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Old 12-14-2012
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Diaphragm paralysis..............
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  #4  
Old 12-15-2012
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Default .......

atelectasis
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  #5  
Old 12-15-2012
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guys,waiting for more answers....
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Old 12-15-2012
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lower lobe atelectasis
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  #7  
Old 12-15-2012
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brain stem injury??? cant generate cough + unorganized breathing.

however rhonchi makes it localized problem.
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  #8  
Old 12-15-2012
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Help

Pulmonary edema...
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  #9  
Old 12-15-2012
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Quote:
Originally Posted by DRIBO View Post
Pulmonary edema...
Non- cardiogenic.
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  #10  
Old 12-15-2012
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Quote:
Originally Posted by sohailus View Post
What's your diagnosis?
What are the choices?
__________________
A man doesn't know what he knows until he knows what he doesn't know.
“What is man? He's just a collection of chemicals with delusions of grandeur.”
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  #11  
Old 12-18-2012
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Default So what is the answer?

Quote:
Originally Posted by sohailus View Post
A 27 year old female was involved in an automobile accident. As a result of the accident she sustained a cervical frature. She has no significant PMH prior to the accident. She is stable in a halo vest, has a tracheostomy and is tolerating CPAP during the day while being ventilated on SIMV of 8 during the night. Examination has revealed a C5-C6 level of functioning.

The patient prefers to lie in bed with the head elevated to about 30 degrees. She demonstrates a dyscoordinated breathing pattern. Auscultation reveals diminished breath sounds at bilateral bases with faint bilateral upper chest rhonchii. She is unable to generate an adequate cough. CXR reveals patchy basilar densities and cursory PFT’s demonstrate only 50% predicted VC. She is currently being treated with Albuterol and Theophylline. What's your diagnosis?
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  #12  
Old 12-18-2012
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Quote:
Originally Posted by DRIBO View Post
Multiple rib fractures
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