SAQ 1134 – Chest pain collapse and bedside ultrasound

Marked out of 14.00

An 89-year-old woman is brought to your tertiary ED with sudden severe chest pain and collapse with transient loss of consciousness. Her BP is 90/- mmHg, HR 50 bpm and GCS 12. A bedside subcostal ultrasound image is shown below.

Bedside subcostal ultrasound image in an elderly patient with chest pain and collapse
Bedside subcostal ultrasound.

List four (4) potentially life-threatening diagnoses.

(Marked out of 4.0)


/ 4

What are the three (3) most useful diagnostic tests in this setting?

(Marked out of 3.0)


/ 3

What is the major abnormality on the ultrasound image and what is the likely clinical diagnosis?

(Marked out of 2.0)


/ 2

What two (2) treatment approaches are available?

(Marked out of 2.0)


/ 2

The family arrives with an Advance Care Directive stating the patient did not want life-saving surgery. Prescribe the PRN medications you would chart for the ward.

(Marked out of 3.0)


/ 3

Total Score: 0 / 14

Percentage: 0%