Correct!
6. All of the above

Pulmonary edema is possible from either a cardiac cause because of his history of heart failure and his positive fluid balance or from a noncardiac cause. Pneumonia is possible with his fever, elevated WBC and clinical situation of recent intubation. Amiodarone lung toxicity given the large amount he has received and can present with an acute syndrome which mimics pulmonary edema or pneumonia.

A CT scan was performed (Figure 2).

Figure 2. Representative images from the CT scan. (click here for a movie of the CT scan)

What should be done next?

  1. Right heart catheterization
  2. Bronchoscopy
  3. Antibiotics
  4. Steroids
  5. Diuresis
  6. Lung Biopsy

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