weekly_question 4/10/2020

[Admin]

please write the answer and your justification, correct answer will be submitted after 48 hrs

A one month old boy presents with dyspnea and failure to thrive. He requires 10L NC oxygen to keep his oxygen saturation above 95%.His laboratory studies are normal. CXR and CT scan are shown below.

What is the most appropriate management for this patient?

A Intubation

B Placement of chest tube

C Placement of bronchial stent

D Segmental pulmonary resection

E Right upper lobectomy

[Admin]

correct answer: E Right upper lobectomy

this is a case of right upper lung lobe congenital lobar Emphysema (CLE) that needs resection. Any child with a symptomatic CLE is at risk for respiratory collapse during anesthesia induction.

[Magdilolah]

The diagnosis is congenital lobar emphysema, so the appropriate management is D or E

[Admin]

Thank you prof for explanation

[Danilo Olaya]

A

[Mohamed ahmed Abd elsalam]

A

[Carlos Enes]

A

[Admin]

correct answer: E Right upper lobectomy

this is a case of right upper lung lobe congenital lobar Emphysema (CLE) that needs resection. Any child with a symptomatic CLE is at risk for respiratory collapse during anesthesia induction.