Author: Girish Boggaram / Editor: Tajek B Hassan / Reviewer: Jon Bailey / Codes: NepC4, RP2, SLO1, SLO3 / Published: 17/01/2022
An 83-year-old female presents with worsening shortness of breath over the past three days which suddenly got worse tonight. She has a cough with whitish mucous expectoration, and no history of chest pain or fever.
She is not known to have COPD, but is known to the renal team and attends hospital three times per week.
She presents with the inability to complete sentences, and is tachypnoeic, tachycardic and hypoxic requiring supplementary oxygen via a high flow face mask.
She has bilateral coarse crepitations on chest examination.
An arterial blood gas shows acidosis, hypoxia, and hypercapnia.
A plain chest radiograph has been performed, which is shown below:
9 responses
Interesting thanks
thanks
A common presentation in ed.
Such cases seen in ED frequently, The key point is how to properly manage them. Thanks, so interesting 🙂
Thanks for the case. Even though it is common presentation in ED we need to consider all the differential diagnoses for pulmonary oedema.
Common ED presentation with conundrum unless X ray and previous ECHO findings present can be easily missed as chest infection.Good learning bite !
heart failure vs fluid overload
Thank you
good module for revision