Saturday, July 12, 2014

65 Year old female with acute shortness of breath

A 65 year old female presented in Accident and Emergency department with acute shortness of breath. She had a respiratory rate of 30/min. Heart rate of 126/min BP 90/60, Afebrile. On examination her chest had  HVB. Oxygen Saturation was 88 %with 5Liter O2/min. CXR was normal. She was discharged 2 days back from hospital, suffered from wound infection after open cholecystectomy.
What is the gold standard to diagnose her condition?

a) U/S chest
b) Serum troponins
c)D-Dimers
d) CT Pulmonary Angio
e)ABG's

Answer: c) CT Pulmonary Angio (Case of Acute Pulmonary Embolism)

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