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Unknown General f65a2628

35 year old male with history of 4 weeks of immobilization for fracture femur developed sudden onset of chest pain and hemoptysis. ECG shows s1 Q3 T3 pattern. Diagnosis?

A
Acute myocardial infarct
B
COPD
C
Pulmonary embolism
D
Cor pulmonale
High-Yield Explanation
Ref. Grainger and Allison's Diagnostic Radiology. Page. 50   Pulmonary embolism (PE) usually arises from a venous thrombosis in the pelvis or legs Risk factors include any cause of immobility or hyper coagulability . Clinical features include :pleuritic chest pain ,sudden onset of breathlessness (most common),hemoptysis ,dizziness ,syncope . ECG findings include sinus tachycardia (most common ) , S1Q3T3 (Most characteristic)

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