Case presentation A 28-year-old pregnant female at 35 weeks of gestation presented to the emergency department with acute-onset severe breathlessness. She had a known diagnosis of pre-eclampsia and was on oral labetalol.
Her symptoms had worsened over a short period despite adherence to therapy. Initial examination Tachypneic and dyspneic at rest Oxygen saturation: 92% on room air; dropped to 15% on lying flat Blood pressure: 150/100 mmHg Bilateral basal crepitations on auscultation Heart sounds: Normal Neurological examination – Initially alert, later became unresponsive during evaluation Arterial blood gas (ABG) Type 1 respiratory failure pO₂: 6.0 kPa pCO₂: 3.8 kPa pH: 7.32 Lactate: 3.6 mmol/L Laboratory findings Hemoglobin: 9 g/dL Platelet count: 175 × 10⁹/L Liver enzymes: Normal Reference : Cureus ##Disclaimer## The content provided on Docplexus is intended for educational purposes…
