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This patient is a 34 year old male who presents to the emergency department with the chief complaint of cough and fever. The following x ray is shown. Questions: 1. Describe what you see? Bilateral diffuse interstitial infiltrates Diagnosis: PCP pneumonia 2. What are the common presenting on symptoms of the above pathology? Patients present with fever, dyspnea, a nonproductive cough, and scant rales 3. What are three classic ABG results in chronological order of clinical progression? Hypocarbia, hypoxia, increased A-a gradient 4. What is the classic x-ray finding of the above pathology? Symmetrical interstitial infiltrates in the mid and lower lung zones 5. When is the addition of steroids indicated? With the Po2 <70 or A-a gradient >35 mmHg on room air Trivia: Where did the group Pink Floyd get its name? Answer: Georgia bluesmen Pink Anderson and Floyd Council |