Welcome to Cross-Canada Paediatric - Respiratory Residency Rounds
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not so rare
– sarcoidosis
– tuberculosis
– fungal disease
– alveolar cell carcinoma
– lymphoma
– alveolar proteinosis

rare
– air spray pneumonia
– desquamative interstitial pneumonitis
– lymphocytic interstitial pneumonitis
– mineral oil aspiration
– alveolar microlithiasis

At this point, laboratory analyses demonstrated:

CBC WBC 20,700/square mm; Neutrophils 16,700, Platelets 620,000 ; Hb 140
Na+ 139 mmol/L, K+ 3.6 mmol/L, urea 3.9 mmol/L, plasmata creatinine 78
PH 7.32, PCO2 39 mmHg
Urinanalysis: haemoglobinuria

Echocardiographic study demonstrated a small pericardial and pleural effusion.

At that moment, considering the rapid deterioration, it was felt that a rapid diagnosis was essential to her survival. She had increased respiratory distress and hypoxemia despite an FIO2 of 100% being delivered via a face mask.

YOU ARE CALLED FOR YOUR OPINION. WHAT WOULD YOU DO?


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