CTAS 1. A 48-year-old, 10 days after knee arthroplasty, has syncope and pleuritic chest pain. BP is 82/48 mmHg, HR 136, SpO2 86%, and JVP is

Question

CTAS 1. A 48-year-old, 10 days after knee arthroplasty, has syncope and pleuritic chest pain. BP is 82/48 mmHg, HR 136, SpO2 86%, and JVP is elevated. ECG shows sinus tachycardia with right heart strain. Bedside echo shows a dilated RV. What is the most likely diagnosis?

Accepted Answer

Massive pulmonary embolism

Answer

Acute pericarditis

Answer

Aortic valve stenosis

Answer

Spontaneous pneumothorax

Answer

Inferior myocardial infarction

Pulmonary embolism with shock — RCPSC EM MCQ

CTAS 1. A 48-year-old, 10 days after knee arthroplasty, has syncope and pleuritic chest pain. BP is 82/48 mmHg, HR 136, SpO2 86%, and JVP is elevated. ECG shows sinus tachycardia with right heart strain. Bedside echo shows a dilated RV. What is the most likely diagnosis?