Out Of Comfort 2

Cardiovascular System


Step 1: View Clinicals

{"ops":[{"insert":"A 44 year old man presents with chest discomfort and dyspnea for 2 weeks; these symptoms have markedly worsened over the last 4 days.\n\nHe is otherwise asymptomatic, with no history of paroxysmal nocturnal dyspnea or orthopnea. His medical, surgical, and family histories are unremarkable.\n\nHe only drinks socially, and has never smoked before.\n\nAn urgent 12-lead ECG reveals a rate of 106 bpm, with a regular rhythm. All leads show low voltage QRS complexes with electrical alternans.\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-M-084_en.png"}},{"insert":"\n"}]}

Step 2: Order Relevant Investigations

1. Bedside Echocardiography
2. D-Dimers
3. Contrast CT Thorax
4. Cardiac MRI

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