Unspecified hospital in Adelaide

75-year-old male, day 2 ICU, admitted with respiratory failure. Findings on examination included the presence of droplet precautions, poor peripheral perfusion, the presence of a pacemaker/ICD and coarse crackles throughout all lung fields.

Candidates were directed to provide a differential diagnosis for his respiratory failure based on the findings on examination.

Discussion points included interpretation of imaging and echo findings and further assessment of his cardiac function.