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Dr. Prashant Ved (Emergency Medicine) needs a second opinion on this medical case.
70/F presented to casualty with Severe respiratory distress along with Sweating for 2hrs.She had also Exertional dysnpoea for last 3days.Intubated and ventilated upon arrival.Known Diabetic and Hypertensive on regular treatment. On presentation - HR -120,BP -80/60mmhg,RR -12/Mt,Spo2 -72%.Chest - Breath sounds diminished,CVS - No murmurs,Pupils - B/l 4mm RTL,GCS - E1M5V1.LVEF - 20% with Global hypokinesia of LAD moreover LAD territory.D-dimer - 10000,Sensitive Trop - I -686,Initial labs report enclosed with Xrsy chest,ECG and CT angio.DIAGNOSIS AND SUGGEST MANAGEMENT AND TREATMENT PLAN?
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