A 65-year-old alcoholic is admitted to the ICU with diagnosis of acute pancreatitis. After 48 hours he is unconscious and has the following findings: Sp02= 60%, p02= 60 mmHg, pCO2 =50mm Hg and HR= 120 bpm. Chest X ray was performed and is given below. What is the diagnosis of the following condition ?
Correct Answer: Shock lung
Description: PO2 = 60 mm Hg (decreasing), PCO2 50 mm Hg (increasing) Type 2 Respiratory failure Option A: No history of aspiration Option D: Needs blunting of C.P angle which is normal in this case Option B: Shocks lung/ARDS Bilateral extensive infiltrates Type 2 failure Acute pancreatitis
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