Nepean Hospital

  • 72-year-old man, day 2 in ICU, following presentation with ARDS on the background of a recent admission with H. influenza pneumonia. Clinical findings included high ventilatory requirements, bilateral crackles and wheezes and signs of left upper lobe consolidation on auscultation. Candidates were asked to examine him and give a differential diagnosis. Additional points for discussion included interpretation of CXR, ventilatory management, choice of antibiotic and diagnostic criteria for ARDS