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SBA Answers and Explanations
Published in Vivian A. Elwell, Jonathan M. Fishman, Rajat Chowdhury, SBAs for the MRCS Part A, 2018
Vivian A. Elwell, Jonathan M. Fishman, Rajat Chowdhury
The symptoms of a pulmonary embolus include sudden-onset dyspnoea, tachypnoea, pleuritic chest pain, cough, and haemoptysis. On clinical examination, a pleural friction rub may be auscultated. Risk factors are attributed to Virchow’s triad. Her risk factors include recent pregnancy which changes blood flow dynamics and increases the risk of a pulmonary embolus developing.
Pericardial Anatomy, Interventions and Therapeutics: A Contemporary Review
Published in Structural Heart, 2021
Reza Reyaldeen, Nicholas Chan, Saberio Lo Presti, Agostina Fava, Chris Anthony, E. Rene Rodriguez, Carmela D. Tan, Walid Saliba, Paul C Cremer, Allan L. Klein
Diagnosis can be challenging, but requires an inciting event along with criteria as defined in the European Society of Cardiology Task Force for the Diagnosis and Management of Pericardial diseases – with two out of the following five clinical findings38: Fever without alternative causesPericardial or pleuritic chest painPericardial or pleural friction rubEvidence of pericardial effusionPleural effusion with elevated C-reactive protein (CRP).
Quadruple therapy for asymptomatic COVID-19 infection patients
Published in Expert Review of Anti-infective Therapy, 2020
Ling Wang, Xiaopeng Xu, Junshan Ruan, Saijin Lin, Jinhua Jiang, Hong Ye
On 28 January 2020, the patient went to a hospital in Songxi County, Fujian Province, China, with ‘soreness of loins’ as the main complaint. The patient was in good health without previous medical history, medication history, and smoking or drinking habits. The physical examination showed the body temperature of 38°C, blood pressure of 138/80 mmHg, pulse rate of 92 beats per minute, respiratory rate of 22 breaths per minute, and oxygen saturation of 98% while the patient was breathing ambient air. Lung auscultation did not reveal rough breathing sounds, rhonchi, or pleural friction rub. Blood test results demonstrated his C-reactive protein (CRP) of 22.44 mg/L, procalcitonin of 0.12 ng/mL, glutamic oxaloacetic transaminase of 65 U/L, glutamic-pyruvic transaminase of 107 U/L, and glutamyl transpeptidase of 58 U/L, and other indicators were normal. Chest CT examination showed multiple ground-glass appearance (Figure 1). Since the patient works as a bus driver, COVID-19 pneumonia cannot be ruled out, although he claimed no known contact with anyone from Hubei. The hospital notified the local center for disease control and prevention (CDC) immediately and designated him as a ‘suspected person.’ The patient was isolated in the hospital. His throat swab specimen was obtained for COVID-19 nucleic acid detection. On the same day, the local CDC confirmed that the patient’s COVID-19 test was negative.