All posts with tag: "syndrome"
17yo boy with long legs and arms, h/o scoliosis and mild pectus excavatum, hyperextensibility of the thumbs, presents with sudden onset ripping quality chest pain and feeling lightheaded. On exam, patient is anxious appearing, afebrile, HR 105, BP 98/45, RR 14, pulse ox 98% RA, alert, HEENT non-revealing, Lungs BCTA, Cor RRR with mid-systolic click followed by a late systolic murmur at the apex, Abd soft ND NT, Extremities and Skin non-contributory. Of the following, which diagnostic study is the best choice?
A) POC troponin
B) Arterial blood gas
C) Bedside ultrasound looking for lung sliding
D) CT angiogram
E) CT abdomen
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