#MedicalCase

Shortness of breath in a 22-year-old young lady (General Medicine)

Dr. Ramasamy., MBBS, MD (INTERNAL MEDICINE)

 

Medical Case Details:

This patient till 2 days back was asymptomatic, suddenly developed shortness of breath, vague chest pain, palpitation, & numbness of both UL. She was brought to the ED the next day. In the present scenario of COVID-19, the possibility of COVID-19 was entertained. History, clinical exam, baseline lab investigations like CBC, LFT, ECG, RBS, CXR (done elsewhere) did not provide any clue to the shortness of breath. What could be the cause?

 


    Discussions


    Dr. Sathiskumar

    Pulm embolism can be a possibility.
    u can do a Echo to find any RV changes.

    15.May, 05:40pm

    Dr. Rajesh Deshwal
    HIV AIDS Specialist

    Anxiety/Phobic episode.

    ▲ 2
    16.May, 09:35am

    Dr. Tanmai Yermal (jain)

    Should get an Echo done to check for MVP- MR or pulmonary embolism (though less likely if saturations, BP, pulse rate are fine and normal.) If echo is normal then Anxiety disorder or other causes can be thought of.Thank you.

    ▲ 1
    16.May, 11:56pm

    Dr. Zulfiqar Ahmed

    Sudden onset of breathing difficulty necessitates to rule out No.1 pulmonary embolism 2.acute heart failure 3.acute asthma/copd attack 4.acute pneumothorax. So I think do BNP levels if high perform echo ABG D Dimer Doppler for legs to be done. Then proceed according to findings
    Thanks

    ▲ 1
    23.May, 05:07am



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