thaisbotelho
Forum Junior
Topics: 21
Posts: 58
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20. A 22-year-old primigravid woman at 16 weeks' gestation is brought to the emergency department because of progressive shortness of breath over the past 48 hours. Her temperature is 37 C (98.6 F), blood pressure is 120/70 mm Hg, pulse is 100/min, and respirations are 24/min. Scattered wheezes are heard. Pelvic examination shows a uterus that extends to the umbilicus. Fetal heart tones are absent. Her hematocrit is 32%, leukocyte count is 11,000/mm3, and serum β-hCG level is 300,000 mIU/mL. Pulse oximetry on room air shows an oxygen saturation of 92%. An x-ray film of the chest shows multiple round densities throughout all lung fields. Which of the following is the most likely diagnosis?
A
) Bacterial pneumonia
B
) Choriocarcinoma
C
) Pulmonary embolism
D
) Tuberculosis
E
) Viral pneumonia
I'm not sure...I/m between B and C...
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| umeed99
Forum Junior
Topics: 14
Posts: 59
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off course B......
THANKS TO BHCG WHICH NEVER INCREASE IN PE
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| priya03in
Forum Newbie
Topics: 4
Posts: 7
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b - choriocarcinoma
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| umeed99
Forum Junior
Topics: 14
Posts: 59
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20. A 22-year-old primigravid woman at 16 weeks' gestation is brought to the emergency department because of progressive shortness of breath over the past 48 hours. Her temperature is 37 C (98.6 F), blood pressure is 120/70 mm Hg, pulse is 100/min, and respirations are 24/min. Scattered wheezes are heard. Pelvic examination shows a uterus that extends to the umbilicus. Fetal heart tones are absent. Her hematocrit is 32%, leukocyte count is 11,000/mm3, and serum β-hCG level is 300,000 mIU/mL. Pulse oximetry on room air shows an oxygen saturation of 92%. An x-ray film of the chest shows multiple round densities throughout all lung fields. Which of the following is the most likely diagnosis?
B WOULD BE A PERFECT CHOICE
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| thaisbotelho
Forum Junior
Topics: 21
Posts: 58
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Thanks guys! It really fits perfectly!
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| hir
Forum Guru
Topics: 4
Posts: 525
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B.....the other clue, ut extends upto umbilicus which happens at 24wks...while in this pt its just 16 wks pregnancy with no fetal signs.....so directing towards choriocarcinoma
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| nightflight1945
banned
Topics: 32
Posts: 920
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