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51 yo woman presents with Pleuritic chest pain
An otherwise healthy 51 yo woman presents with Pleuritic right posterior chest pain without dyspnea or hemoptysis. Her Temp: 100F , HR=102 pm, BP =100/70 torr. Chest exam reveals Pleural friction rub over the posterior right hemithorax.
CXR shows no abnormality. The appropriate course of axn is
1. Prescribe NSAIDs and reassure patient
2. Repeat CXR
3. Schedule Chest CT for the following day.
4. Send blood for D-dimer assay
CXR shows no abnormality. The appropriate course of axn is
1. Prescribe NSAIDs and reassure patient
2. Repeat CXR
3. Schedule Chest CT for the following day.
4. Send blood for D-dimer assay
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CXR shows no abnormality. The appropriate course of axn is
1. Prescribe NSAIDs and reassure patient
2. Repeat CXR
3. Schedule Chest CT for the following day.
4. Send blood for D-dimer assay[/quote] Pleuritic chest pain without dyspnea is a known presentation of Pulmonary embolism. The presence of low grade fever adds the possibility of Pulmonary infarction. D-dimer assay is a good screening test for PE.