Cases/

Case 07 — Unexplained dyspnea

PHintermediate00:00Score 100
PHintermediate7 min

Case 07 — Unexplained dyspnea

Handover

Six months of unexplained dyspnea. Echo suggested pulmonary hypertension. At the table: PA 78/32, mean 48, PCWP 11, CO 3.8. The referring team has already written for a nitroprusside trial “to unload.”

Untreated tamponade, massive PE, or a crashed CPO/PAPi will keep dropping MAP and climbing lactate. Name the tracing, then move.

Goals

  • · PH classified
  • · Pulmonary vasodilator on
  • · Tracing reviewed