SAQ 1186 – Shock and dyspnoea in a patient with lung cancer

Marked out of 12.00

A 67-year-old woman presents to the ED with increasing shortness of breath over two days. Her past history includes diabetes and non-small-cell lung cancer. Vital signs are temperature 38.1 degrees C, HR 125/min, BP 75/45, RR 25/min and SpO2 91% on 6 L via Hudson mask. Her ECG is shown below.

ECG from a patient with shock and dyspnoea
ECG.

State one (1) physiological mechanism by which a judicious fluid bolus improves perfusion in a shocked patient.

(Marked out of 1.0)


/ 1

List two (2) quantitative blood-gas findings that would suggest a shocked state.

(Marked out of 2.0)


/ 2

List four (4) abnormal findings on this patient's ECG.

(Marked out of 4.0)


/ 4

State the three (3) most likely differential diagnoses accounting for this presentation.

(Marked out of 3.0)


/ 3

List two (2) other important differential diagnoses accounting for this acute presentation.

(Marked out of 2.0)


/ 2

Total Score: 0 / 12

Percentage: 0%