A 38-year-old woman is complaining of shortness of breath that started suddenly on the morning of presentation. She is an otherwise healthy woman. She

Subject
Medicine
System
Cardiology & Vascular System, Pulmonary & Critical Care

Kathryn

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Jul 29, 2020
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A 38-year-old woman is complaining of shortness of breath that started suddenly on the morning of presentation. She is an otherwise healthy woman. She takes oral contraceptive pills, and she has a 10-year history of smoking a pack of cigarettes daily. She appears anxious and is rapidly breathing at 30 breaths/min. Her pulse is 110/min, and her blood pressure is 120/80 mm Hg and stable. The rest of her physical examination is unremarkable. Which of the following is the most appropriate initial step in management?
(A) Aspirin
(B) Coumadin
(C) Heparin
(D) IV fluid
(E) Streptokinase
 
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