Quiz
| The first 100% of the full text of this article appears below. |
A previously fit and well 15 year old suffered a near drowning episode in seawater.
Her initial blood gas was: pH 7.04, pCO2 12.2 kPa, pO2 8.97 kPa, HCO3 24 mEq/l,
BE 
10.
Her spirometry, carried out on day 10, and subsequently, showed both a restrictive and obstructive picture.
Her chest x ray was as shown in fig 1.
| Figure Removed (Available Only in the Full Text) |
Questions
| 1. | What is the differential diagnosis on the basis of the x ray and the lung function tests? |
| 2. | Nursing staff who suctioned her, noted sand in suction catheters while she was ventilated. What investigations would be appropriate next? |
| 3. | What is the management of this condition and how common is it? |
LOUISE DENVIR, MIKE POLKEY, DIPAK KANABAR
Departments of
Paediatrics and Respiratory Medicine, Guy's Hospital, St
Thomas' Street, London SE1 9RT, UK
Footnotes
Answers on p 187.
© 2001 by Archives of Disease in Childhood
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