A 69 year old man with metastatic colon cancer suddenly collapses. Blood pressure is 76 over 44 mm Hg, pulse is 132 per minute, and jugular venous pressure is elevated. Lungs are clear to auscultation. Bedside echocardiography shows acute right ventricular dilation. Which of the following is the most likely diagnosis?
- A)Streptococcus pneumoniae
- B)Acute respiratory distress syndrome
- C)Pulmonary edema due to left sided heart failure
- D)Massive pulmonary embolismGABARITO
- E)Tension pneumothorax
Explicação
Pulmonary embolism is correct. Sudden obstructive shock with clear lungs, elevated jugular venous pressure, and acute right ventricular strain in a patient with cancer is classic for massive pulmonary embolism. The hemodynamic collapse is due to abrupt obstruc... Ver explicação completa e trilha adaptativa →