You perform spirometry on a patient and obtain the following…

You perform spirometry on a patient and obtain the following results:                                 Predicted Values              Measured Values             % Predicted FVC                        7.20 liters                            7.06 liters                            98 % FEV1                      5.70 liters                            2.38 liters                            42 % FEV1/FVC            80 %                                      34 %                                      43%  The most likely reason for these spirometry measures is:

A 36 year old female presents to your office complaining of…

A 36 year old female presents to your office complaining of intermittent cough for the last two weeks. She states that her cough is dry. She denies any respiratory symptoms associated with her cough. She cannot associate her cough to any specific activity or time of the day. She has no past medical history, but her children were sick with a viral infection 4 weeks prior. She had a couple of days of low grade temperature and malaise. She only takes over the counter antacids once or twice a week. The most likely cause of this patient cough is?

A patient presents with a moderate upper respiratory infecti…

A patient presents with a moderate upper respiratory infection. Throat swabs are cultured on primary chick embryo fibroblasts. A cytopathic effect is observed characterized by extensive cell fusion. Of the following viruses, which one is the most likely candidate based on this test?

A 72 yo man arrives the UF Family Medicine Clinic for his qu…

A 72 yo man arrives the UF Family Medicine Clinic for his quarterly checkup. He is over weight (BMI = 31) and his diet largely consists of processed foods. He takes Captopril for hypertension (BP= 180/140, without meds) and Metformin for diabetes (A1C = 9.3% without meds). He tells you that since his last visit three months prior, he has quit smoking. He states that the urge to return to smoking is strong, as he smoked 1-2 packs of cigarettes per day, for 23 years. Respiratory rate is 29 bpm. Breathing room air, his lab data are as follows; pH = 7.47, PaCO2 = 24 mm Hg, PaO2 = 58 mm Hg, HCO3- = 17 mEq/L, and SpO2 = 88%. The most likely cause of the patient’s hypoxemia is

A 58 yo male is admitted to the hospital with pancreatitis….

A 58 yo male is admitted to the hospital with pancreatitis. Initially his chest X-ray was clear, but 24 hours after admission his X-ray reveals bilateral interstitial infiltrates. He is being treated with IV fluids, pain control medication, and supportive care, but he is developing increasing respiratory distress; RR =42 (increased), O2 saturation = 90% with FiO2 = 100% given by mask. He is then intubated and placed on 100% oxygen. His arterial blood gas reveal a PaO2 of 70 mm Hg. At this point, what can you do to improve his chances of survival?