I put together these medical challenges. The cases are hypothetical and do not necessarily represent actual or typical presentations of medical diseases. Disclaimer is at the bottom of this page.
Monday, January 11, 2016
A 60 year old man with severe COPD on multiple inhalers and home oxygen presents with shortness of breath, productive cough, and increased work of breathing. In the emergency department, he has respiratory distress and is intubated. The resident sets a high minute ventilation in order to "blow off his CO2" since he is worried that the blood gas will be very acidemic. The patient then develops hypotension.
Challenge: Assuming this is not related to the patient's disease process, what is the cause of the hypotension?
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