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News|Poll|April 20, 2016

Dyspnea and Intermittent Chest Pain in a 64-year-old Woman

Author(s)ReelDx

Video: Patient's ADLs were unaffected by symptoms until 2 days ago. She arrives at ED directly from PCP's office, after echo. Dx?

 

A 64-y/o woman is referred to ED immediately after office echocardiogram. Complains of ~5 weeks occasional shortness of breath, intermittent mild pain radiating from L shoulder to chest. ECG 3 wks ago, normal. HR: 99 bpm, RR: 23, BP: 139/66, SpO₂: 90% RA.

 

What is the most likely diagnosis?

A. Pericardial effusion (viral, bacterial, malignancy)
B. Empyema
C. Congestive heart failure
D. Myocardial infarction
E. Cardiomegaly
F. Pericarditis
G. Pneumonia
H. Pulmonary embolus

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