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Pamela is a 23-year-old college student who is in good health, lifts weights regularly, and maintains a high-protein, low-fat diet. She is injured in an automobile accident and confined to bed for 4 days in the hospital with a broken leg. On the fifth day of hospitalization, Pamela suddenly becomes very short of breath. She seems unable to get enough air and begins to hyperventilate. A chest x-ray is obtained, but appears normal. Considering the information presented, what is the most likely cause of Pamela's respiratory distress?
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