A 42-year-old man is admitted to ICU with a large left-sided pleural effusion causing respiratory failure. A chest drain is inserted and 2.5 litres of...

Question

A 42-year-old man is admitted to ICU with a large left-sided pleural effusion causing respiratory failure. A chest drain is inserted and 2.5 litres of serous fluid drains rapidly over 30 minutes. Shortly after, the patient develops worsening hypoxia, cough, and new bilateral pulmonary infiltrates on chest radiograph. What is the most likely diagnosis?

Accepted Answer

Re-expansion pulmonary oedema

Answer

Hospital-acquired pneumonia

Answer

Acute pulmonary embolism

Answer

Flash pulmonary oedema from fluid overload

Answer

Empyema with ongoing sepsis

uk-fficm MCQ (SBA): Re-expansion Pulmonary Oedema