ABSTRACT
PMH: asthmatic; DH: salbutamol and beclothemasone via metered dose inhalers; SH: computer programmer lives with wife; O/E:
• Temperature 39°C; • Tachypneic RR 30, SOBAR talking in clipped sentences, shallow breaths; • Auscultation: reduced breath sounds bi-basally, inspiratory crackles left lower lobe,
faint monophonic expiratory wheeze left lower lobe; • CXR: Patchy white shadowing LL zone; • ABGs: (FiO2 0.4) pH 7.48, PCO2 4.4, PO2 10.5, HCO3-25 BE -1.
