A patient is admitted to hospital with dyspnoea, tachycardia and cyanosis. The p

Question

A patient is admitted to hospital with dyspnoea, tachycardia and cyanosis. The patient has had a persistent respiratory illness for a number of months, with a persistent productive cough. Lung function tests show FEV1/FVC = 60%, FVC is 86% of the predicted value for his age and height and haemoglobin saturation is 88%. The haemoglobin saturation did improve with oxygen therapy and lung function improved with inhaled bronchodilators. The patient MOST LIKELY has:

a.

Chronic bronchitis

b.

Acute respiratory distress syndrome

c.

Tension Pneumothorax

d.

Empyema

e.

Severe Chronic Obstructive Pulmonary Disease

Explanation / Answer

C.Tension pneumothrax.

It's an abnormal accumulation of air in the pleural space between the lungs and chest wall .there is shortness of breath, rapid heart rate , rapid breathing. Skin may appear may develope bluish colour .

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