MedBugs: SAQ #286

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Case: Acute respiratory distress and chest pain

A 75-year-old man is brought into the resus room of your tertiary ED with acute respiratory distress. Family members report the patient complaining of chest pain over the past few days. One hour prior to arrival, he suddenly began to complain of acute shortness of breath, worsening chest pain and frothy pink sputum. Initial vitals are as follows :

HR 110/min irregular
BP 100/65
RR 30
Sats 92% on 15L/min NRB
GCS 15
Temp 36.8°C

Acute respiratory distress and chest pain

1. What is the most likely diagnosis and give two supportive findings seen on imaging. 3 marks

2. Give four underlying causes of this type of presentation. 4 marks

3. Outline principles of management of this condition. 5 marks

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Case: Acute respiratory distress and chest pain

1. What is the most likely diagnosis and give two supportive findings seen on imaging. 3 marks

2. Give four underlying causes of this type of presentation. 4 marks

3. Outline principles of management of this condition. 5 marks

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