A 48-year-old female presented to the emergency department with chief complaints of chest pain and breathlessness since last 2 hours. She was experiencing sharp, non-radiating pain which gets worse on breathing. Past medical history: Laparoscopic Hysterectomy 3 months before. Examination: O2 saturation on air – 89% Respiratory rate – 22 Lung auscultation to assess air entry reveals a pleural rub is heard over the right lower lobe, no wheezing BP – 130/82 Pulse – 132 – regular CRT – < 2 seconds Pupils equal and reactive to light.
ABG report: pH- 7.36 PaO2 - 8.00kPa (↓) PaCO2 - 5.5 kPa Bicarbonate - 23 ECG – shows sinus tachycardia GCS – 15 Normal power in all four limbs. What is your differential diagnosis? *This case is from Docplexus editorial team for educative purpose only Source: Pulmonary case studies The answers are posted in the comments section. Click here.
