Pulmonary vascular disease

A 79-year-old woman is admitted with ongoing lower gastrointestinal bleeding and a haemoglobin concentration of 72 g/L (reference range 115–155). She is receivi…

Pre-internship · middle twist

A 71-year-old man presents with three days of dyspnoea. CT pulmonary angiography shows bilateral pulmonary emboli and right ventricular enlargement; his blood p…

Clinical rotations · common

A 29-year-old woman at 10 weeks of pregnancy presents with sudden pleuritic chest pain and breathlessness. Her heart rate is 108/min, oxygen saturation is 98% o…

Clinical rotations · middle twist

A 31-year-old woman developed a proximal deep vein thrombosis at 32 weeks gestation and has received therapeutic low-molecular-weight heparin since diagnosis. S…

Clinical rotations · common

A 66-year-old man with metastatic gastric adenocarcinoma develops a symptomatic proximal deep vein thrombosis. He has a friable gastric lesion with recent occul…

Clinical rotations · middle twist

A 29-year-old woman at 28 weeks gestation presents with sudden pleuritic chest pain and breathlessness. Her pulse is 108/min, oxygen saturation is 97% on room a…

Clinical rotations · middle twist

A 34-year-old woman is reviewed 18 hours after an emergency caesarean section complicated by a 1.6 L postpartum haemorrhage. The bleeding has been controlled fo…

Pre-internship · common

A 68-year-old man develops sudden pleuritic chest pain and tachypnoea after prolonged immobility. Arterial blood gas analysis on room air shows pH 7.48, PaCO2 3…

Mechanisms of disease · common

A 28-year-old woman presents to the emergency department with two days of right-sided chest pain that is worse on deep inspiration. She takes a combined oral co…

Clinical rotations · common

A 74-year-old woman with metastatic breast cancer presents with sudden dyspnoea and pleuritic chest pain. CT pulmonary angiography confirms bilateral pulmonary…

Clinical rotations · common

A 54-year-old woman has a symptomatic isolated posterior calf-vein thrombosis found on ultrasound. She has no cancer, previous venous thromboembolism, marked sw…

Clinical rotations · middle twist

A 31-year-old woman at 10 weeks of pregnancy develops unilateral calf swelling and pleuritic discomfort. Ultrasound confirms a proximal femoral deep-vein thromb…

Clinical rotations · common