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Short Answer Questions for ED Fellowship Study

Case: Acute respiratory distress and chest pain

A 75-year-old man is brought into the resus room of your tertiary ED with acute respiratory distress. Family members report the patient complaining of chest pain over the past few days. One hour prior to arrival, he suddenly began to complain of acute shortness of breath, worsening chest pain and frothy pink sputum. Initial vitals are as follows :

  • HR 110/min irregular
  • BP 100/65
  • RR 30
  • Sats 92% on 15L/min NRB
  • GCS 15
  • Temp 36.8°C

Acute respiratory distress and chest pain

1. What is the most likely diagnosis and give two supportive findings seen on imaging. 3 marks

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2. Give four underlying causes of this type of presentation. 4 marks

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3. Outline principles of management of this condition. 5 marks

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This case forms part of a collaborative marking project designed to support fellowship preparation. In the week leading up to each tutorial, you can contribute answers to any active case. If you contribute, your answers may be reviewed, marked, and used to refine the model answers during the weekly fellowship teaching sessions.

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After the tutorial you can still do the case and self-mark your answers, but your answers will not be included in the group review.