#DiagnosticDilemma: What's your take on this?
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A 38-year-old woman without a significantmedical history presented with worsening dyspnea and lower extremity edema at 1 week post partum. When at full term, a planned vaginal delivery was complicated by breached position of the fetus, fetal distress, and new onset of fever. The delivery was converted to a cesarean birth, which was uncomplicated. Perioperatively, she had an episode of chest pain that resolved spontaneously. A vascular ultrasound study ruled out deep vein thrombosis in the lower extremities. She had progressive dyspnea, mild pulmonary congestion noted on chest radiography. Physical examination findings showed a new heart murmur.

WHAT WOULD YOU DO NEXT?
A) Order blood culture
B) Perform transesophageal echocardiography
C) Repeat non-ECG-gated computed tomography angiography
D) Perform cardiac catheterization

Please post your answer in the comment section below.
For correct answer refer: https://www.plexusmd.com/md/post?pfpid=55194
Dr. T●●●●z H●●●●●●i and 2 other likes this
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D●. S●●●●●●E N●●●●M
D●. S●●●●●●E N●●●●M General Medicine
Peripartum cardiomyopathy..so rule out with Trans oesophageal echo
May 27, 2020Like
Dr. J●i B●●●●i
Dr. J●i B●●●●i Obstetrics and Gynaecology
Trans oesophygial echocardiography Should be done to exclude mitral stenosis.
May 27, 2020Like
Dr. C●●●●●●●t K●●r
Dr. C●●●●●●●t K●●r Obstetrics and Gynaecology
What is the right answer
Jun 5, 2020Like