Case by Chye Chung
Thanks for the case which is a good case to discuss.
28 years old Malay man who is in an army, presented with sudden onset of shortness of breath and localised pleuritic chest pain for 1 day. He also has non-productive cough and with an episode of haemoptysis, low grade fever without chills and rigors and rashes. He had previous history of trauma to the knww and ACL repair done 2 months ago. No history of pneumonia, PTB, recent air travel or long journey drive. No other medical illness.
Physical examination was unremarkable and lungs clear with no loud P2
PT12.9, aPTT 29.2 INR 1.07
pH7.469, pCO2 72.0, HCO3- 25.8, BE 3.3 O2 sat 95.4%
Would anyone like to comment on the ECG and CTPA ?
Thanks again to Chye Chung for the post !