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Postgraduate Education Corner: Ultrasound Corner |

A Woman in Her 30s in Respiratory Distress With a History of Gestational Diabetes and HypertensionA Woman in Her 30s in Respiratory Distress

Ariel L. Shiloh, MD; Maria Sobolev, MD; Lewis A. Eisen, MD, FCCP
Author and Funding Information

From the Division of Critical Care Medicine, Department of Medicine, Jay B. Langner Critical Care Service, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY.

Correspondence to: Ariel L. Shiloh, MD, Division of Critical Care Medicine, Montefiore Medical Center, Albert Einstein College of Medicine, 111 E 210th St, Bronx, NY 10467; e-mail: ashiloh@montefiore.org


Reproduction of this article is prohibited without written permission from the American College of Chest Physicians. See online for more details.


Chest. 2014;145(1):e1-e2. doi:10.1378/chest.13-1850
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Extract

A woman in her 30s with a history of gestational diabetes and hypertension presented to the ED with respiratory distress. She had no known cardiac or pulmonary disease. Progressively worsening dyspnea, including exertional and nocturnal dyspnea, began 1 month prior to presentation. At that point, she had been diagnosed as having an upper respiratory infection with fevers. Two weeks prior to presentation, the patient was treated with antibiotics for possible sinusitis without improvement. The patient did not report chest pain at any time.

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Figures

Tables

Video 1

Bedside ultrasound

Running Time: :23

Video 2

Bedside ultrasound

Running Time: :23

Video 3

Bedside ultrasound

Running Time: :23

Video 4

Bedside ultrasound

Running Time: :23

Video 5

Bedside ultrasound

Running Time: :23

Discussion Video

Acute systolic heart failure and hypertensive emergency associated with pulmonary edema

Discussion Video 1

Pleural ultrasound

Running Time: :29

Discussion Video 2

Pleural effusion with consolidated lung

Running Time: :29

Discussion Video 3

Curtain signs shows with every breath

Running Time: :29

Discussion Video 4

Parasternal long-axis view

Running Time: :29

Discussion Video 5

Apical four-chamber view

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