Conundrum

Cardiovascular System


{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"The triad of hypotension, elevated jugular venous pressure (JVP) and clear lung fields is found in only a few conditions - most notably right ventricular myocardial infarction (RVMI), pulmonary embolism (PE), tension pneumothorax and cardiac tamponade.\n\nThe absence of pulsus paradoxus and lack of muffled heart sounds make cardiac tamponade less likely.\n\nIn general, clinical signs and symptoms do not allow confirmation or exclusion of PE. However, the presence of deep venous thrombosis (DVT), a history of recent major surgery or presence of a malignancy might raise the suspicion of this diagnosis. In addition, the associated chest pain is typically pleuritic in nature.\n\nPatients with tension pneumothorax are typically severely dyspneic, whil"}]}

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