Breathless

Respiratory System


0

{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/M2_F1.jpg"}},{"insert":"\n\n"},{"insert":"It is a sunny monday, and you are back at work after a refreshing holiday in Bali.\n\nA few minutes after you start your shift, an elderly lady is wheeled in.\n\nYou recognize her as Susan, the 72 year old owner of the grocery store you regularly visit.\n\nYou recall that she is on treatment for type 2 diabetes mellitus, and that she is also enrolled in the renal clinic for management of stage III chronic kidney disease (CKD).\n\nShe suffered an ischemic stroke a month ago, and has been cared at home for the past two weeks.\n"}]}

1

{"ops":[{"insert":"Susan complains of pain and swelling of her entire right lower limb for one day.\n\nThe limb is visibly swollen, but is not erythematous.\n\nThere is tenderness along the deep venous territory of the thigh.\n\nYou order a venous ultrasound scan of the right lower limb; this reveals a large thrombus involving the femoral vein.\n\nA few minutes later, Susan suddenly becomes dyspneic. Her heart rate is 110 bpm, while her blood pressure is 150\/100 mmHg.\n\nSerial electrocardiograms are normal, as are all basic investigations.\n"}]}

4

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6

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3

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5

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