A 34 year old woman with a smoking history has had an uneventful laparoscopic cholecystectomy 18 hours ago. She is now complaining of shortness of breath. She had a pulse rate of 108bpm and a temperature of 37.8. There are signs of reduced air entry at the right base. Chest x-ray shows no obvious abnormality. What is the SINGLE most appropriate next step? A. Unfractionated heparin B. IV ceftriaxone C. PO chlorpheniramine D. Chest physiotherapy E. D-dimers Please could you explain your answer - that’s much more helpful than just writing a letter
D- chest physiotherapy. Post op atelectasis. It's a common post op complication after abdominal surgeries.the reduced air entry in the base of lungs supports the diagnosis.