The Apprentice Doctor

Pleuritic chest pain

Discussion in 'Case Studies' started by Essam Abdelhakim, Jan 31, 2025.

  1. Essam Abdelhakim

    Essam Abdelhakim Well-Known Member

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    A 50-year-old male presents with sudden onset dyspnea and pleuritic chest pain after a long-haul flight. He is tachycardic and has decreased breath sounds on the right side.

    MCQ: What is the most appropriate imaging study to confirm the diagnosis?

    • A) Chest X-ray
    • B) Ventilation-perfusion (V/Q) scan
    • C) CT pulmonary angiography
    • D) Ultrasound of the legs
    Answer: C) CT pulmonary angiography

    Explanation:
    CT pulmonary angiography is the gold standard for diagnosing pulmonary embolism. It allows for direct visualization of pulmonary arteries and can confirm or rule out the presence of emboli.

    Overview:
    In cases of suspected pulmonary embolism, timely imaging is critical to confirm the diagnosis and initiate appropriate treatment to prevent complications.
     

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