Thursday, August 14, 2008

Case 14

A 41 years old male with no significant past medical history presented to the emergency room with sudden onset of shortness of breath and right sided sharp chest pain. He is visiting his sister and traveled from Pakistan last week.

On physical examination, he was afebrile, blood pressure 138/84 mmHg, pulse 110 /minutes, and respiratory rate 22 /minute. The rest of the physical exam is normal.

He is not anemic and renal function is normal.


Q 1 –What is the best diagnostic imaging study would you use to detect emboli in the main lobar or segmental pulmonary arteries in this case?

A- Cardiac echocardiography.

B-Computed tomographic arteriography (CT)

C-Ventilation-Perfusion scanning

D-Magnetic resonance –imaging (MRI)


Q 2- For how long would you continue anticoagulation therapy for this patient?

A-3-6 months

B-6-9 months

C- 9-12 months

D-12 to 18 months


Ranjitha said...

CT scan
6-9 months of anticoagulation

ramashesai said...

1)B CT angio
2)A 3-6 months.

uchit said...

CT angiogram; 3-6 months