01/07/2024
3
You are a General Medical Senior House Officer (SHO) in a District General Hospital.
You are asked to see a 20-year-old man in the Emergency Department (ED) who is breathless. He gives a history of recent air travel to South America within the last 10 days. He denies any past medical history, but says that he has a chronic smokers’ cough. The patient is not taking any regular medications.
On examination, he is a thin man with tachypnoea at rest. His baseline observations include a blood pressure (BP) of 120/80 mmHg, and a pulse of 100 beats per minute (bpm). His oxygen saturation is 89% on room air and his temperature is 38.5oC. He is noted to have bi-basal crepitations and ill-defined heart sounds on auscultation. Routine
bloods reveal an elevated white blood cell count (WCC) and c-reactive proTIEN...
*WHAT ARE YOU THINKING WITH THIS ECG
What is the next step of management??
Interesting but true u will do a chest xray and strat antibiotics!!!!
And thats the twist😌
