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Introduction
Very Sociable
Guy
Chest Pain
Girl with a Rash
England 1944
Trouble Healing
Morning Stiffness
Bruises Easily
Shortness of
Breath
Drug Interactions
Review
Thanks to
Quiz
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Mr. CV is a 22
year-old graduate student who presents with chest pain, shortness of breath and
hemoptosis.
- Mr. CV says he was working in his lab when
he suddenly felt a warm feeling in the right side of his chest, followed by a sharp pain.
- He coughed and noticed blood in his
sputum.
- He felt short of breath and light headed.
- Friends brought him to the emergency room.
- Physical exam reveals a tachypnic, anxious
man.
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- Respirations = 36 and mildly labored.
- Pulse = 96/min and regular
- Chest clear to auscultation with no
abnormal heart sounds.
- Arterial blood gases:
- PO2 = 82 mmHg, (ref = 80 -100)
- PCO2 = 26 mmHg (ref = 35-45)
- pH = 7.45 (ref = 7.36 - 7.44)
- Upon further questioning he says he
remembers some right calf tenderness over the past two days, but thought
it was due to jogging.
Not much of a challenge here. This sounds like a
pulmonary embolus.
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