Respiratory Distress in a 32-Year-Old Woman

Yasmine S. Ali, MD

Disclosures

November 14, 2016

Editor's Note: The Case Challenge series includes difficult-to-diagnose conditions, some of which are not frequently encountered by most clinicians but are nonetheless important to accurately recognize. Test your diagnostic and treatment skills using the following patient scenario and corresponding questions. If you have a case that you would like to suggest for a future Case Challenge, please contact us.

Background

A 32-year-old white woman with a history of severe mitral stenosis presents to the emergency department with sudden onset of acute, severe respiratory distress. Other than her history of severe mitral stenosis, she has no other significant past medical history. She states that she noted the onset of palpitations prior to becoming acutely short of breath at rest.

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