Aashi
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A 27-year-old woman presents to the emergency department complaining of shortness of breath for the last few hours that is not related to exertion or body position. The patient states that she is 22 weeks pregnant and this is her first pregnancy. She has never had an episode like this before. She denies fever, cough, or chest pain. The patient appears tachypneic and in moderate distress. Her temperature is 100.9 F, heart rate is 120 mm Hg, and the blood pressure is 110/60 mm Hg, with a respiratory rate of 30/min. The lungs are clear to auscultation, and the heart examination is unremarkable. She has moderate edema of the lower extremities with the left slightly worse than the right. An arterial blood gas on room air shows: pH 7.51, pCO2 26 mm Hg, pO2 62 mm Hg, and 92% saturation. The EKG shows sinus tachycardia at a rate of 126/min with no ST-T abnormalities. The chest x-ray shows clear lungs fields bilaterally. What is the most appropriate test to confirm the diagnosis?
(A) V/Q scan
(B) Spiral CT
(C) Impedance plethysmography
(D) D-Dimers
(E) 125I fibrinogen scan
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| CocaCola
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A - V/Q scan
spiral CT is great but V/Q scan is best...
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| robin082006
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A
this is typical pulmonary embolism in pregnancy
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| MDcooper
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embolism=v/q scan unless it is CI in pregnancy which i am not aware of.
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| prathapdoctor
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A, yes its pulmonay embolism.
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| Aashi
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yes..its v\q scan...
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