classic case #chest-pain, #Tachycardia, low grade #Fever an | Figure 1

christopherblewett

Critical Care


classic case #chest-pain, #Tachycardia, low grade #Fever and "normal" chest #X-ray. Failure to respond to Z-pak given 7 days earlier at another facility


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42yo male c/o chest pain and severe dyspnea made worse with exertion. Low 80's on room air other VS relatively normal aside from being a little tachy at times. No productive cough, chills or fever. Hx HTN and episodes of AFib in the past. Trop negative and DDimer 18.2. CT shows, "extensive emboli extending into segmental branches of all lobes.

11yo boy, 3 weeks intermittent chest pain and intermittent #Dyspnea. No fever. No cough. Diminished breathing sounds lower right. CRP < 1, normal blood gas, normal ECG. What's next? Antibiotics (mycoplasma?) or chest CT or CT angio (PE)?

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