Id |
Subject |
Object |
Predicate |
Lexical cue |
T143 |
0-37 |
Sentence |
denotes |
3.4 Case 3 – Diffuse alveolar damage |
T144 |
38-141 |
Sentence |
denotes |
A 58-year old female was admitted to the ICU and needed mechanical ventilation due to severe hypoxemia. |
T145 |
142-349 |
Sentence |
denotes |
Chest CT-angiography showed dubious unilateral sub-segmental pulmonary emboli and diffuse bilateral ground-glass opacities with anteroposterior gradient along with large dependant consolidations (Fig. 1-3A). |
T146 |
350-520 |
Sentence |
denotes |
On the 8th day of mechanical ventilation, BAL was performed and CT-scan was repeated because of deteriorating pulmonary condition with increasing inflammatory parameters. |
T147 |
521-643 |
Sentence |
denotes |
Chest CT-angiography showed bilateral sub-segmental pulmonary emboli, persistent ground-glass opacities and consolidation. |
T148 |
644-811 |
Sentence |
denotes |
Newly formed coarse cyst-like lesions in the middle and ventral regions (non-dependant regions) were noted, probably due to ventilator induced lung injury (Fig. 1-3B). |
T149 |
812-933 |
Sentence |
denotes |
Considering lack of respiratory improvement and progression of fibrosis on radiological imaging prednisolone was started. |
T150 |
934-1037 |
Sentence |
denotes |
After five days prednisolone was stopped because of a positive GM index of 3.4 from repeated BAL fluid. |
T151 |
1038-1078 |
Sentence |
denotes |
Fungal culture remained negative though. |
T152 |
1079-1135 |
Sentence |
denotes |
Her respiratory status stabilised but remained critical. |
T153 |
1136-1258 |
Sentence |
denotes |
After pausing the sedation, the patient remained unresponsive and CT head showed ischemia with small areas of haemorrhage. |
T154 |
1259-1394 |
Sentence |
denotes |
In light of her pour neurologic and respiratory prognosis, treatment was ended and patient expired after 26 days on ventilator support. |
T155 |
1395-1494 |
Sentence |
denotes |
In the core needle biopsy specimens the lung tissue largely preserved its preexisting architecture. |
T156 |
1495-1647 |
Sentence |
denotes |
Histologic findings included an inflammatory infiltrate consisting of neutrophils and lymphocytes, and only a sporadic intra-alveolar fibroblastic plug. |
T157 |
1648-1782 |
Sentence |
denotes |
The striking, distinctive feature of this case was the presence of thin, delicate hyaline membranes along the alveolar wall (Fig. 2C). |
T158 |
1783-1831 |
Sentence |
denotes |
Again, micro thrombi were observed in this case. |
T159 |
1832-1882 |
Sentence |
denotes |
No fungi could be demonstrated in the PAS-D stain. |
T160 |
1883-1996 |
Sentence |
denotes |
Together with the clinical characteristics, these histologic findings were suggestive of diffuse alveolar damage. |