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.

 

[center] [/center]

 

 

 

 

[size=20px]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[/size]

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

A

A

A

correct answer: [size=20px]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.[/size]

Thank you prof for explanation