A 59 year old man returned from a 6 week holiday in the USA 2 days ago. He was seen in an ED while on holiday for shortness of breath and given antibiotics which he completed. The shortness of breath has been ongoing but worse in the last 3 days.

On examination he is short of breath, sweaty and pale.

Vitals:

BP  90/70, HR 120/min, T 38, RR 30/min.

an XR was requested (see Radiology of the week) and blood tests requested. Continue reading →