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- Martin A C Manoukian, Rebecca L Corbett, Bryn E Mumma, Morgan A Darrow, and Richart W Harper.
- Department of Emergency Medicine, UC Davis, Sacramento, CA. Electronic address: mamanoukian@ucdavis.edu.
- Chest. 2021 Sep 1; 160 (3): e265-e268.
Case PresentationA 70-year-old woman was transferred to our ED from an outside ED for hypoxemia. Three weeks earlier, an inpatient evaluation for syncope revealed a right intraventricular filling defect, multiple pulmonary nodules, pulmonary emboli, and a left breast mass. She underwent breast biopsy, was started on rivaroxaban, and was discharged with outpatient follow-up. She experienced progressively worsening dyspnea, prompting a return to the outside ED, where she was found to be severely hypoxemic and was intubated. Her medical history included diabetes, hypertension, hyperlipidemia, COPD, hypothyroidism, diastolic heart failure, and a 40+ pack-year smoking history.Copyright © 2021 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.
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