Our latest case report from Dr. Brady Pregerson features a woman in her 50s presenting with cough, tactile fever, and shortness of breath. Can you determine the correct diagnosis?
History: A woman in her 50’s with a history of asthma presents to the emergency department for cough, tactile fever and SOB. She denies syncope, palpitations, chest pain or other complaints. She thinks she’s probably having an asthma attack but hasn’t had one in over a decade so did not have medicine at home.
Exam: Vital signs are notable for a pulse of 134, BP 113/62, temperature is 98.6, and a saturation of 95% on RA. Exam is notable for obesity, tachycardia, and mild wheezing with good air movement and no respiratory distress. There is no leg edema.
An EKG is done:
What is the most likely diagnosis?
A. Asthma attack
C. Pulmonary Embolism
D. Acute Coronary Syndrome