PAMJ - Images Quiz
Images in Clinical Medicine Quiz allows clinicians, interns, medical students alike to test their clinical knowledge using articles published in the PAMJ. The PAMJ Image Quiz is distributed under the terms of the Creative Commons Attribution 4.0 International (CC BY 4.0).

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Quiz
A 40 year old man started his trekking 4 days ago from Lukla (2800m) in the Everest region of Nepal. He reached Tengboche (3860 m) on third day where he was short of breath with moderate exertion and was easily fatigued. He ascended further ignoring his symptoms and reached Dingboche (4410m) on fourth day. He was extremely tired, short of breath at rest and appeared ill so helicopter evacuation was done to a nearby hospital. On initial evaluation, his vital signs were temperature 97.8 F, blood pressure 124/66 mmHg, pulse rate 89/min, respiratory rate of 26 breaths/min and saturation (SpO2) of 80% on room air at rest. Auscultation of the lungs revealed bilateral crackles. On evaluation the next day, his pulmonary crackles had resolved and he was no more short of breath. His ambulatory SpO2 was 96% on room air. What is your diagnosis?

Pneumoconiosis
High altitude pulmonary edema
Bilateral pneumonitis
Congestive heart failure

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The PAMJ Clinical Quiz was comes from manuscripts submitted in PAMJ journals mostly in the category Images in Clinical Medicine, or Case Reports. Quiz questions are developed by PAMJ Clinical Editors and provide an opportunity to health professional, clinicians, medical students to test their clinical skills. The PAMJ Image Quiz is distributed under the terms of the Creative Commons Attribution 4.0 International (CC BY 4.0). If you use or ever used the PAMJ for training purposes, we will be happy to hear from you at editor@panafrican-med-journal.com.

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Articles published in PAMJ are Open Access and distributed under the terms of the Creative Commons Attribution 4.0 International (CC BY 4.0).


The Pan African Medical Journal (ISSN: 1937-8688) is a subsidiary of the Pan African Medical Journal. The contents of this journal is intended exclusively for professionals in the medical, paramedical and public health and other health sectors.

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