A 36 year old female presents with shortness of breath and c…
A 36 year old female presents with shortness of breath and chest discomfort after a long road trip. Vitals: BP 156/81, Pulse 112, RR 25, O2 89% on room air, Temp 98.9F History: tobacco use, migraines, obesity, hypothyroidism Home medications include levothyroxine and birth control pills. Chest CTA reveals a right sided pulmonary emboli (PE). Labs: WBC 10.5 x1000/mm RBC 4.9 Mill/min HgB 11.9 gm/dl HCT 32.6 % Plt 400 x1000/mm Na+ 138 mEq/L K+ 3.2 mEq/L Cr 0.9 mg/dL BUN 12 mg/dL Glucose 132 mg/dl Ca+ 7.9 mg/dL High Sen – Troponin 50ng/L CKMB 10IU/L Repeat High Sen – Troponin 56ng/L EKG: (Knechtel, M. A. (2021). EKG 5.3. In Springer Publishing.) What is the secondary diagnosis?
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