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04-03-2024
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A 68-year-old man has recurrent stridor for 2 hours. Two years ago, he underwent radiation for laryngeal cancer. Examination shows a bulky tumor involving the upper and middle neck bilaterally. Arterial blood gases on 100% oxygen show low pH, CO2 52 mmHg, O2 55 mmHg, HCO3 17 mEq/L. Next step?
A) Emergency tracheostomy
B) High-dose corticosteroids
C) Fiberoptic laryngoscopy
D) Bronchoscopy

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