Cardiovascular System

{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"Dyspnea in the early postpartum period can be due to a myriad of conditions. Of these, the most important to consider are pulmonary embolism (PE), heart failure, pneumonia and anemia due to bleeding.\n\nPneumonia is rather unlikely in absence of a cough, while the normal Hb level excludes anemia.\n\nWhile an elevated JVP and gallop rhythm can occur in both PE and heart failure, the presence of cardiomegaly and bilateral bibasal crackles favor pulmonary congestion (secondary to heart failure).\n\nAn ECG should be performed as soon as possible (both as a prerequisite for interpreting an echocardiogram, as well as to exclude ischemic heart disease). In this patient, the findings are unfortunately nonspecific, and can be caused by any of the etiologi"}]}

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