{"ops":[{"insert":"A 26 year old man presented with fever, cough, lightheadedness and generalised malaise for 36 hours. He had returned 2 days before from a hitch-hiking journey of 2 weeks in southwest Florida.\n\nAn empirical course of Oseltamivir started 2 days before produced no improvement in symptoms.\n \nSeven hours into hospitalization, he develops profuse sweating and progressively worsening shortness of breath.\n\nHis medical history is unremarkable. His psychiatric history is significant for bipolar disorder and chronic narcotic dependence. There is no history of allergies.\n\nHe is a past tobacco smoker and former alcoholic, and occasionally uses marijuana.\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-M-136_en.png"}},{"insert":"\n"}]}
2
Investigate
Chest X-Ray
{"ops":[{"insert":"There are bilateral diffuse hazy opacities in the lung fields consistent with the adult respiratory distress syndrome.\n"}]}
USS Abdomen + Liver Profile
{"ops":[{"insert":"The ultrasound scan of the abdomen reveals no abnormalities.\nAST: 717 U\/l \nALT: 759 U\/l \nDirect Bilirubin: 1.32\u2005mg\/dl\nAlbumin: 4.2 g\/dL (3.5 - 5)\n"}]}