Weekend Case Study 2Created by:
55 years old gentlmean, with background medical history of hypertension, hypercholesterolaemia, and depression, was admitted due to 1 day history of gradual onset chest pain, and shortness of breath. He deny any productive cough, and no fever. He did noticed some change of bowel habit and unintentional weight loss recenlty. On examination showed that his oxgen saturation on room air was around 89%, respiratory rate of 20 per minute, BP -135/90, pulse 110, and temperature was apyrexia. Cardiovascular, respiratory, abdominal and neurology examination were normal. With regards to investigation, chest x ray was normal, blood test showed normal white cell count, neutrophil, CRP, with microcytic anaemia. ABG showed type 1 respiratory failure. What is your impression ?? What is the management and treatment strategy??? Any further investigation require?