Open AccessA case of acute respiratory failure in a young man
Author(s) -
Fabio Di Stefano
Publication year - 2007
Publication title -
clinical management issues
Language(s) - English
Resource type - Journals
eISSN - 2283-3137
pISSN - 1973-4832
DOI - 10.7175/cmi.v1i2.608
Subject(s) - medicine , pulmonary edema , polyuria , dysuria , pulmonary oedema , acute respiratory failure , anesthesia , auscultation , oxygen saturation , respiratory failure , cardiology , lung , mechanical ventilation , oxygen , endocrinology , chemistry , urinary system , organic chemistry , diabetes mellitus
A 40 years old man presents with a few hours history of progressive dyspnea. He was suffering from almost a week of low grade fever. The night before the onset of dyspnea he had high fever (39,5°C), polyuria and dysuria. His blood pressure is 115/65 mmHg and his oxygen saturation while breathing ambient air is 81%. Chest auscultation reveals rales bilaterally. A chest radiography shows bilateral pulmonary infiltrates consistent with pulmonary edema. How should this patient be evaluated to establish the cause of the acute pulmonary edema and to determine appropriate therapy