Pulmonary oedema
A 67-year-old patient has been tired over the last 2 days. He has breathing difficulty and he had a cold last week. The breathing has worsened considerably today. He fears for his life and he, therefore, called an ambulance. Select which conditions must a paramedic consider in terms of basic differential diagnosis:
Myocardial infarction.
All answers are correct.
Acute heart failure.
Exacerbation of asthma.
67
years
man
Examination
Paramedics find the patient with severe dyspnea, tachypnea, sweating, and tachycardia. According to his medical history and a medical record from his doctor, which the patient provided, they find out he suffers from chronic ischemic heart disease, he has an ejection fraction of 50 percent and stable asthma on inhalation corticosteroids therapy. He denies allergies.
Glycaemia
Gly
6,4  mmol/L
Arterial blood gas
pH
7,4
pCO2
37,5  torr
pO2
75  torr
BE
1  mmol/l
Complete blood count
HGB
140  g/L
ERC
5  x1012/L
LEU
8  x109/L
Biochemical analysis
Na
140  mmol/L
K
3,9  mmol/L
Cl
105  mmol/L
Ca
2,4  mmol/L
Glycaemia
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Arterial blood gas
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Complete blood count
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Biochemical analysis
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