A 59 year old man is cyanotic post operative after complete bilateral lung transplant 10 hours prior. Supplemental oxygen has been increased form 40 % to 100 % over last hour. Diffuse crackles are heard over both lungs. Trans thoracic echocardiogram shows normal left ventricular function. Chest x ray shows diffuse opacities throughout bot lungs. 1. What is your suspected diagnosis and why? 2. What causes it?

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The main function of the respiratory system is gas exchange (O2 and CO2). Ventilation is the movement of air through the respiratory tract into (inspiration) and out of (expiration) the respiratory zone (lungs).


1. A 59 year old man is cyanotic post operative after complete bilateral lung transplant 10 hours prior. Supplemental oxygen has been increased form 40 % to 100 % over last hour. Diffuse crackles are heard over both lungs. Trans thoracic echocardiogram shows normal left ventricular function. Chest x ray shows diffuse opacities throughout bot lungs. 1. What is your suspected diagnosis and why? 2. What causes it?