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A previously fit and well 15 year old suffered a near drowning episode in seawater.
Her initial blood gas was: pH 7.04, pco 2 12.2 kPa, po 2 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 fig1.
- What is the differential diagnosis on the basis of the x ray and the lung function tests?
- Nursing staff who suctioned her, noted sand in suction catheters while she was ventilated. What investigations would be appropriate next?
- What is the management of this condition and how common is it?
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