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List two conditions other than pneumonia that could cause this radiographic picture (½ mark for each)
In view of the history you conclude that the most likely diagnosis is community acquired pneumonia (CAP).
Initial bloods were taken earlier and the results are now available (assume normal if not listed):
WCC 18.3
Neutrophils 16.4
CRP 187
Na 146
K 4.2
Urea 8
Creatinine 101
eGFR >60
lactate 2.5
The next day you see another patient who presents with a pyrexial illness and productive cough. You again suspect pneumonia but the chest x-ray looks slightly unusual. The consultant suggests the patient may have an atypical pneumonia .