Medical background

Medical 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

  • Syncope after getting out of bed
  • Approximal duration 2-3min
  • Recovered alone – stand straight  after the event
  • Pleuritic pain of acute onset
  • Reports left calf pain since 2 days

Map: VTE_scenario_2 (467)
Node: 11057
Score:

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