A 70-Year-Old Woman With Refractory Hypoxemia : Chest (original) (raw)

• Martin A.C. Manoukian
• Rebecca L. Corbett
• Bryn E. Mumma
• Morgan A. Darrow
• Richart W. Harper

Chest

160

(

3

)

:p

e265

-

e268

,

September 2021

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| DOI: 10.1016/j.chest.2021.01.088

CASE PRESENTATION:

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.

Copyright © 2021Elsevier, Inc.