paraplegic

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Posted by Veronica from IP 75.47.140.124 on October 12, 2012 at 08:38:57:

A 30-year-old paraplegic male has a long history of UTI secondary to an indwelling Foley catheter. He
develops fever and hypotention requiring hospitalization, fluid therapy and IV intibiotics. He improves but
over one week becomes increasingly short of breath and tachipneic. He develops frothy sputum, diffuse
rales and diffuse alveolar infiltrates. There is no fever, jugular venous distention, S3 gallop, or peripheral
or sacral edema. The best approach to a definitive Ds in this patient would be:

a Blood cultures
b CT scan of the chest
c Pulmonary capillary wedge pressure
d Ventilation-perfusion scan

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