Winded : Part 2

Respiratory System


Step 1: View Clinicals

{"ops":[{"insert":"A 6 year old refugee presented 1 day ago with impending type 2 respiratory failure, and was managed with intubation and mechanical ventilation.\n\nDuring suction, active, fresh bleeding into the endotracheal tube was noted, even though intubation was non-traumatic; the bleeding subsided over time.\n\nHe has experienced multiple episodes of cough, wheezing, epistaxis, and cyanosis for the last 2 years. Detailed medical records are not available.\n\nA complete blood count reveals microcytic anemia with a Hb of 10.9 and normal platelet counts, while a chest x-ray shows reticular-nodular opacification in the perihilar and basal regions\n\nBlood and endotracheal aspirate cultures showed no growth, while a urinalysis, renal functions, liver functions, ECG, and echocardiogram were normal.\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-M-070_en.png"}},{"insert":"\n"}]}

Step 2: Order Relevant Investigations

1. Coagulation Profile
2. Open Lung Biopsy

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