Cedrick
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A 45 yaer old woman who has acute diverticulitis develops severe hypotension,tachypnea and tachycardia
she subsequently develops cyanosis and hypoxemia unresponsive to oxygen therapy
X ray films of chest shows a diffuse alveolar infiltrate
blood culture grows Escherichia coli
a major factor in the pathogenesis syndrome is
a.-degranulation of mast cells
b.-delayed type IV hypersensibility to bacterial products
c.-increased surfactant production by type II pneumocytes
d.-production of antibodies to alveolar basement membranes
e.-release of oxygen free radicals from sequestered neutrophils
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| MHP
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I think is D
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| Cedrick
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maybe septicemia ?
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| Cedrick
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e
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| reet
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YES E
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| MRMAVERICK
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I THINK IT IS E TOO-MHP Y DO U THNK ITS D
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| muzammil
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we cant explain all syptoms from d it must be something other than d
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| study_ing
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its definitely E.
neutros are involved in the pathogenesis of ARDS
in D the pt shud have had hemoptysis and renal complaints--consistent with goodpastures syndrome. this patient had RDS due to septicemia
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| sugandhna
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d
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| disha
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its e
tha disease is ARDS caused by free radical injury
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| new_n_lost
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YUP its definitely E
ARDS = MCC Endotoxin shock
Ecoli is the MCC of Septic Shock n the damge to the Alveolar membrane is due to Aggregation of Neutrophils n Macrophages. the initial injury is of Neturophils n is Free oygen radicals n Complement system activation which leads to the sequelae of intestitial difffusion n fibrosis
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| new_n_lost
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YUP its definitely E
ARDS = MCC Endotoxin shock
Ecoli is the MCC of Septic Shock n the damge to the Alveolar membrane is due to Aggregation of Neutrophils n Macrophages. the initial injury is of Neturophils n is Free oygen radicals n Complement system activation which leads to the sequelae of intestitial difffusion n fibrosis
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| klimt
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I agree, E
it's ARDS so the damage is made by neutrophiles
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| Cedrick
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| docarchana
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neutrophils damage capillary wall by release of oxygen free radicals and cytokines.
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| vallia
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E
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