A 46 year old woman returns from a 14 hour flight and develops sudden shortness of breath and pleuritic chest pain. She has been taking estrogen containing oral contraceptives. Pulse is 112 per minute, and oxygen saturation is 90 percent on room air. Which of the following is the most likely diagnosis?
- A)Community acquired pneumonia
- B)Legionella pneumophila
- C)Pulmonary embolismGABARITO
- D)Pleural effusion
- E)Spontaneous pneumothorax
Explicação
Pulmonary embolism is correct. Prolonged immobility during air travel plus estrogen use creates a strong thromboembolic risk profile, and the abrupt onset of pleuritic hypoxemic dyspnea is classic. The history is far more suggestive of VTE than of infectious o... Ver explicação completa e trilha adaptativa →