Dr. Arun Bali (General Practice) needs a second opinion on this medical case.
*Chief complaint* A 61 y/o diabetic male presents with syncope after having dyspnea after exertion. He also complaits of nausea and vomiting. *Description* No history of any such episode in past. He is a chronic smoker. No other past history. *Vitals* Temp: 98.3° F, Pulse 120 bpm; BP: 130/100 mmHg; RR 31 bpm Oxygen saturation of 93% on two liters nasal cannula. *Lab reports* On arrival patient was diaphoretic, tachycardic, tachypneic ABG: pH : 7.26; pCO2 :17 mm Hg (35-45mmgHg) and pO2 : 115 mmHg (80-100mmHg), troponin : 1.3 ng/mL (< 0.01 ng/mL) Please help in the diagnosis and treatment.
See this content immediately after install