Case No. 23

How would you rate this case?






Case No. 23


What is the issue?

Let us know in a brief paragraph or sentence why you are flagging this case. Here are some other issues we, at CodeHealth, would like to know about:

  • Spam or misleading content
  • Violation of privacy
  • Unnecessary sexual content
  • Unnecessary violent content
  • Hateful or abusive content
  • Promotion of harmful acts


Flagged cases and users are reviewed withing 24 - 48 hours upon submission of a report. The report will be reviewed to determine whether the case and it's author (user) has violated CodeHealth's Terms of Use and/or Community Guidelines. Accounts are penalized for violations to either the Terms of Use and/or Community Guidlines. Repeated violations can lead to account termination.

Thank you for your report, it will be reviewed within the next 24-48 hrs.
Chief Complaint:

Chest Pain and Shortness of Breath

Published: May 16, 2017
Author: jason.lopez

A 64 year old male with a history of hypertension, diabetes, and hyperlipidemia is referred to the Emergency Department by his primary medical doctor for evaluation of chest pain and shortness of breath. The pain is located in his mid-chest, is non-radiating, and is exacerbated by deep inspiration and exertion. His pain is sharp in quality. He has associated shortness of breath and fatigue. The patient recently returned from a trip in Europe (9 hour flight) approximately 4 days ago when the symptoms began. On arrival to the Emergency Department his vitals are HR 115, BP 125/84, RR 30, O2 Sat 92% on room air. The patient tells you his baseline blood pressure is in the 180-190 systolic range as he is non-compliant with his antihypertensives. The patient is put on a nasal cannula with improvement in his oxygen saturation. You obtain a CT angiogram of the chest which reveals pulmonary ebomoli in his R segmental and subsegmental arteries. Bedside echocardiogram reveals bowing of the interventricular septum.


How would you classify this patients pulmonary embolism?

  • Low-Risk PE
  • Submassive PE
  • Massive PE
  • Chronic PE
  • 3 cases left...
    You’ve attempted 0 of 3 cases this week
    Register for an account for unlimited access, for free!

    Case Set Name