Authors: Ivana Lutchman/ Editor: Steve Corry-Bass, Mark Winstanley / Reviewer: Kathryn Blackmore, Maad Jasim / Codes: CC4, CP2, RP5, SLO3 / Published: 04/10/2021 / Reviewed: 20/11/2024
An 83-year-old gentleman is brought to the Emergency Department (ED) by ambulance with acute dyspnoea at rest. His oxygen saturations with the ambulance crew were 50% on room air and he was conversing in broken sentences.
His observations on arrival were:
- RR: 24
- Oxygen Saturations: 99% on 15L oxygen
- HR: 71 (paced)
- BP: 218/85
- Temp: 35.1
His initial ABG showed:
- pH 6.86
- pO224.1
- H2CO313.1
- pCO215.1
He has a background history of an aortic root repair, aortic valve replacement and a dual chamber pacemaker placed for complete heart block. He is a current smoker and has been relatively well prior to this presentation.
24 responses
Very good case , a common presentation in the elderly , worth a differential in copd patients who present with shortness of breath
Nice presentation. Useful CXR descriptors in heart failure.
A nice case. Thanks!
Great review for common presentation
very common presentation in acute setting ,CXR very helpful and informative.
very useful case
Good presentaion
Good case of Acute heart failure. Xray findings explained well. Good learning opportunity. Could include a question on ABG findings too
Useful Clinical knowledge
Good case ofa common presentation in the older population. Very useful
Nice case
Good key learning points.
Good Xray findings revision..
Good revision case
excellent review
good xray revision
Good case!i am grateful for the explanation of the findings on the chest X–Ray.
very common presentation
Nice case for review
good CXR description
Good one
Great clinical scenario and x- ray demonstration
Excellent case
Very nicely written, well explained. simple to understand.
Thanks