Acute Shortness of Breath:
A 36 year old male is rushed to the ER with severe respiratory distress. He is agitated and gasping for breath. He has been in the ER several times before for difficulty breathing, food intolerances and skin allergies. Physical examination is notable for excessive accessory respiratory muscle use, retraction of the sublavicular fossae during inspiration, and scattered urticarial over the upper body. What is the most likely diagnosis?
A ) Pneumothorax
B ) Eosinophil pneumonia
C ) Upper airway obstruction
D ) Asthma exacerbation
E ) Leukocytoclastic vasculitis
–USMLEWORLD,LLC QBank ver 2009.02