A 45-year-old woman presents with sudden pleuritic chest pain and dyspnoea two weeks after knee surgery. HR is 124, BP is 104/68, SpO2 is 91%, ECG

Question

A 45-year-old woman presents with sudden pleuritic chest pain and dyspnoea two weeks after knee surgery. HR is 124, BP is 104/68, SpO2 is 91%, ECG shows sinus tachycardia, and chest X-ray is clear. Bedside ultrasound shows right ventricular dilation. What is the most likely diagnosis?

Accepted Answer

Pulmonary embolism with right ventricular strain

Answer

Community-acquired pneumonia

Answer

Acute asthma exacerbation

Answer

Spontaneous pneumothorax

Answer

Panic attack

Pulmonary embolism with RV strain — RCPSC EM MCQ

A 45-year-old woman presents with sudden pleuritic chest pain and dyspnoea two weeks after knee surgery. HR is 124, BP is 104/68, SpO2 is 91%, ECG shows sinus tachycardia, and chest X-ray is clear. Bedside ultrasound shows right ventricular dilation. What is the most likely diagnosis?