A 62-year-old female was presented to the emergency department with sudden onset of dyspnoea and back pain.The patient had sustained a compression fracture of the 5th lumbar vertebral body 2 months previously and had percutaneous vertebroplasty performed 4 days prior to her presentation. History Her past medical history includes Crohn’s disease (well controlled with infliximab and steroids) and osteoporosis (treated with Alendronate and Caltrate). She was suffering from acute shortness of breath which came on suddenly after eating a light breakfast. She also complained of right sided chest pain, worse on inspiration.
She denied any previous history of asthma, cardiac failure, COPD or recent respiratory illness. Vital signs HR 104 regular RR 28 BP-120/80 Temp : 37.5 °C SaO2 96% on 8L of O2 Capillary refill < 2sesc Slight peripheral cyanosis, JVPNE. Physical examination Examination of the…
