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Respiratory Cases II


67 yo female with extreme respiratory distress

  • Chart
  • B.P.
  • Auscultate
  • Tests
  • Diagnose

Patient Chart
VK is a 67-year-old female who is transported by local EMS to the emergency department with extreme respiratory distress that began two hours ago. He is sweating profusely and using all of his accessory muscles to breathe. Heart rate is 114, respiratory rate is 44, temperature is 98.8o F. SpO2 is 80% with the patient breathing oxygen from a nasal cannula at 5 Lpm. He has an occasional cough productive of clear foamy secretions.

Use the Auscultation and Blood Pressure tabs for heart rate, blood pressure and lung sounds.


The patient is placed on a nonrebreathing mask. A stat portable chest radiograph reveals a grossly enlarged left ventricle with increased vascular markings in both bases. Venous blood is drawn for analysis; results reveal a BNP of 550.
Heart Rate:
Blood Pressure: /

Auscultation:




Diagnosis
Which of the following is the most likely diagnosis?







Table of Contents

     Introduction
167 yo female with extreme respiratory distress lesson complete checkmark
221 yo male with dyspnea
38 yo male complains of shortness of breath
461 yo female, dyspnea, productive cough
560 yo female, recent shortness of breath
68 mo male, cough, dyspnea
730 yo male, transient disorientation, dyspnea
860 yo female, dyspnea, non-productive cough
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Respiratory Cases - I
Respiratory Cases - II




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