Southwest Journal of Pulmonary and Critical Care (Mar 2017)
March 2017 critical care case of the month
Abstract
No abstract available. Article truncated after 150 words. History of Present Illness: A 50-year-old man presented to the emergency room via private vehicle complaining of 5 days of intermittent chest and right upper quadrant pain. Associated with the pain he had nausea, cough, shortness of breath, lower extremity edema, and palpitations. Past Medical History, Social History, and Family History: He had a history of hypertension and diabetes mellitus but was on no medications and had not seen a provider in years. He was disabled from his job as a construction worker. He had smoked a pack per day for 30 years. He was a heavy daily ethanol consumer. He had an extensive family history of diabetes. Physical Examination: Vitals: T 36.4 C, pulse 106/min and regular, blood pressure 96/69 mm Hg, respiratory rate 19 breaths/min, SpO2 98% on room air. Lungs: clear. Heart: regular rhythm without murmur. Abdomen: mild RUQ tenderness. Extremities: No edema noted. Electrocardiogram: His electrocardiogram …
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