You are asked to evaluate a 65-year-old man who has undergone right hip replacement. On the third…

You are asked to evaluate a 65-year-old man who has
undergone right hip replacement. On the third day after surgery, the patient
experienced dyspnea and pleuritic chest pain in the right hemithorax. On
physical examination, his heart rate is 120 beats/min; respiratory rate, 25
breaths/min; and blood pressure, 120/85 mm Hg. The lungs are clear, and the
heart examination does not show any gallops or murmurs. ABG measurements on
room air show a pH of 7.49; PaCO2, 30 mm Hg; and PO2, 85
mm Hg. The chest radiograph is unremarkable. What is your differential
diagnosis, and how should you treat this patient?

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