A 32 year old woman develops sudden onset pleuritic chest pain and shortness of breath 5 days after delivery. Pulse is 118 per minute and oxygen saturation is 88 percent on room air. Lung examination is clear, and chest radiograph is normal. Which of the following is the most likely diagnosis?
- A)Community acquired pneumonia
- B)Acute respiratory distress syndrome
- C)Spontaneous pneumothorax
- D)Pulmonary embolismGABARITO
- E)Pleural effusion
Explicação
Pulmonary embolism is correct. The abrupt onset of pleuritic chest pain, tachycardia, hypoxemia, postpartum hypercoagulability, and a normal chest radiograph is a classic presentation. Clear lungs despite significant dyspnea also point toward an embolic rather... Ver explicação completa e trilha adaptativa →