A 70-Year-Old Woman With Refractory Hypoxemia.

Manoukian, Martin A C; Corbett, Rebecca L; Mumma, Bryn E; Darrow, Morgan A; Harper, Richart W · Chest · 2021

case_report · Level V

Where this comes from

Abstract

A 70-year-old woman was transferred to our ED from an outside ED for hypoxemia. Three weeks earlier, an inpatient evaluation for syncope revealed a right intraventricular filling defect, multiple pulmonary nodules, pulmonary emboli, and a left breast mass. She underwent breast biopsy, was started on rivaroxaban, and was discharged with outpatient follow-up. She experienced progressively worsening dyspnea, prompting a return to the outside ED, where she was found to be severely hypoxemic and was intubated. Her medical history included diabetes, hypertension, hyperlipidemia, COPD, hypothyroidism, diastolic heart failure, and a 40+ pack-year smoking history.

Medical subject headings