Correct!
1. Bronchoscopy with bronchoalveolar lavage
Really any of the choices are acceptable. She does seem somewhat clinically better although no diagnosis is yet established. Valley Fever or coccidioidomycosis is almost always a consideration in Arizona. Our choice was to perform a bronchoscopy with bronchoalveolar lavage since she was intubated making it relatively uncomplicated and potentially diagnostic.
Her airways were unremarkable. Bronchoscopy with bronchoalveolar lavage was performed. Cultures were ordered and below is her bronchoalveolar lavage differential (Figure 3).
Figure 3. Bronchoalveolar lavage (BAL) differential.
Which of the following are true regarding the BAL differential? (Click on the correct answer to proceed to the fourth of five pages)