Medical backgroundMedical background •Woman
•Date of Birth 28FEB1970, 49 years old
•Anxiety attacks since 2 years
•1995-2005: suffered 8 miscarriages, no further investigations performed from the treating OBG
•Social background:
•Works as a secretary in al law firm since 15 years
•Lives with husband and their 14years old adopted daughter
•Just returned from a work trip, 5 hours non stop car travel
Clinical examination •Patient is pale, sweaty and tachypneic but consious and able to speak
•Vital signs
•HR 115bpm
•BP 85/65mmHg
•SpO2 90% on room air, recovered to 95% after administration of 2l/min O2
•RR 28/min
•No fever
•Left calf mild edema and pain
•S1S2: loud, rhythmic, normal S1, accentuated P2, and right side S3 gallop
•Lungs: Lungs clear to auscultation and percussion, no rales/rhonchi/wheezes
•ECG (XIII)
•Chest (XIV)
•ABGs: PH 7.3, PCO2 26mmHg, PO2 136mmHg, HCO3- 8mmol/l, cLac 3.3mmol/l
Current condition
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Map: VTE_scenario_2 (467)
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