BOF 161

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BOF: 161

A 68 year old male who is known to have mitral valve disease and who has atrial fibrillation which is controlled using digoxin and warfarin is admitted with a severe nose bleed. His INR is > 10. He is treated with 3 units of fresh frozen plasma and the bleeding stops.

About 8 hour later the patient becomes breathless and hypoxic. Chest X-ray shows bilateral pulmonary infiltrates.

In this patient the likely diagnosis is:

a)     Pulmonary oedema

b)     Pulmonary haemorrhage

c)     Transfusion related acute lung injury

d)     Severe haemolysis

e)     Atypical pneumonia

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