Case presentation A 52-year-old female presented to the emergency department for cough, tactile fever, and dyspnea. She denied syncope, palpitations, chest pain, or other complaints. She further added that it felt like she was having an asthma attack. Patient history The patient had a history of asthma. However, she did not have an asthma attack in over a decade, and that’s why she did not have asthma medications available at home. Physical examination The examination was notable for obesity, tachycardia, and mild wheezing.
Respiratory distress and leg edema were absent. Vital signs Pulse: 134 bpm BP: 113/62 mmHg Temperature : 98.6 o F Radiological examination The chest X-ray was clear. No cardiomegaly or infiltrate was detected. A bedside echo revealed no pericardial effusion (her low voltage was likely from obesity) but a possibly enlarged right ventricle (RV). Chest CT showed no…
