A 72-Year-Old Man Is Brought to the Emergency Department After

question 436

Multiple Choice

A 72-year-old man is brought to the emergency department after being intubated by emergency medical services personnel at the scene.  The patient was found at home, unconscious, with a weak pulse and agonal respirations.  His medical problems include hypertension, hyperlipidemia, type 2 diabetes, coronary artery disease, and metastatic prostate cancer.  Blood pressure is 80/40 mm Hg, and pulse is 120/min and regular.  Patchy rales are present.  A grade 2/6 apical systolic murmur is present.  The upper and lower extremities are cold and clammy.  A nonhealing wound is noted in the right foot.  Pulmonary artery catheterization results are obtained and shown below: Which of the following is the most likely diagnosis?

• A)Aortic dissection
• B)Hypovolemic shock
• C)Left anterior descending artery occlusion
• D)Pulmonary embolism
• E)Septic shock

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Definitions:

Uniform Network

A network system where all components operate under the same protocol or standard.

Strong Ties

Relationships marked by close, personal connections and frequent interactions, often within a tight-knit community or network.

Weak Ties

Social connections that are not strong, frequent, or close, often providing unique information or opportunities due to their diverse nature.

Coalition

An alliance among individuals, groups, or nations, formed for a specific purpose or to achieve a common goal.