Chest rise and breath sounds are better, huge tidal volumes are delivered, saturations come into the 90's. Patient requires a PIP of 35 and a PEEP of 10 to maintain sats. Peripheral pulses are better after two liters. CXR shows RUL consolidation and diffuse alveolar infiltrates. Tracheal aspirates reveal non-typeable H. influenzae.
Patient survives after three weeks on the ventilator.
Unusual cause of acute urinary retention in a child. Appendiceal abcess and urinary retention. Jenny C et al. Analysis of missed cases of abusive head trauma. Sugar NF et al.