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Southwest Journal of Pulmonary and Critical Care

Southwest Journal of Pulmonary and Critical Care

Southwest Journal of Pulmonary and Critical Care, 2016

Southwest Journal of Pulmonary and Critical Care, 2015

A 31-year-old white man presented to the emergency department complaining of fever, headache, mil... more A 31-year-old white man presented to the emergency department complaining of fever, headache, mild confusion, and muscle aches. Approximately three days earlier he had developed non-quantified fever and diffuse muscle aches and pains. He was employed as a feedlot worker. He had visited an urgent care center one day earlier and had been advised to increase his oral fluid intake and to use non-steroidal anti-inflammatory agents as needed. Upon arrival to the emergency department he was found to have a temperature of 103.6º Fahrenheit, blood pressure of 125/72 mm Hg, respiratory rate of 40 breaths per minute, and room-air oxygen saturation of 84% by pulse oximetry. Auscultation of the chest disclosed diffuse rales. Heart sounds were rapid and regular. Abdominal exam was benign. There was no skin rash. Central nervous exam demonstrated agitation and confusion, but was otherwise non-focal. Laboratory examination revealed a white blood count of 11.7 K/uL, hemoglobin of 21.5 g/DL, hematocrit of 66.8%, platelet count of 73 K/uL, partial thromboplastin time of 36 seconds, lactic acid of 2.4 mm/L, and procalcitonin of 43 ng/mL. Chest radiograph disclosed extensive bilateral infiltrates (Figure 1). Figure 1. Chest x-ray showing bilateral infiltrates

Southwest Journal of Pulmonary and Critical Care, 2015

Journal of Adolescent Health Care, 1982

... Address reprint requests: Robert L. Johnson, M.DI University of Medicine & Dentistry of N... more ... Address reprint requests: Robert L. Johnson, M.DI University of Medicine & Dentistry of New Jersey, New Jersey Medical School, De-partment of ... Am J Cardiol 47:218-223, 1981 8. Biello DR, Mattar AG, McKnight RC, et al.: Ventilation-per-fusion studies in suspected pulmonary ...

Southwest Journal of Pulmonary and Critical Care, 2015

Southwest Journal of Pulmonary and Critical Care

Southwest Journal of Pulmonary and Critical Care

Southwest Journal of Pulmonary and Critical Care, 2016

Southwest Journal of Pulmonary and Critical Care, 2015

A 31-year-old white man presented to the emergency department complaining of fever, headache, mil... more A 31-year-old white man presented to the emergency department complaining of fever, headache, mild confusion, and muscle aches. Approximately three days earlier he had developed non-quantified fever and diffuse muscle aches and pains. He was employed as a feedlot worker. He had visited an urgent care center one day earlier and had been advised to increase his oral fluid intake and to use non-steroidal anti-inflammatory agents as needed. Upon arrival to the emergency department he was found to have a temperature of 103.6º Fahrenheit, blood pressure of 125/72 mm Hg, respiratory rate of 40 breaths per minute, and room-air oxygen saturation of 84% by pulse oximetry. Auscultation of the chest disclosed diffuse rales. Heart sounds were rapid and regular. Abdominal exam was benign. There was no skin rash. Central nervous exam demonstrated agitation and confusion, but was otherwise non-focal. Laboratory examination revealed a white blood count of 11.7 K/uL, hemoglobin of 21.5 g/DL, hematocrit of 66.8%, platelet count of 73 K/uL, partial thromboplastin time of 36 seconds, lactic acid of 2.4 mm/L, and procalcitonin of 43 ng/mL. Chest radiograph disclosed extensive bilateral infiltrates (Figure 1). Figure 1. Chest x-ray showing bilateral infiltrates

Southwest Journal of Pulmonary and Critical Care, 2015

Journal of Adolescent Health Care, 1982

... Address reprint requests: Robert L. Johnson, M.DI University of Medicine & Dentistry of N... more ... Address reprint requests: Robert L. Johnson, M.DI University of Medicine & Dentistry of New Jersey, New Jersey Medical School, De-partment of ... Am J Cardiol 47:218-223, 1981 8. Biello DR, Mattar AG, McKnight RC, et al.: Ventilation-per-fusion studies in suspected pulmonary ...

Southwest Journal of Pulmonary and Critical Care, 2015