A 29 year old female presents to the emergency room with chest pain and shortness of breath that started last night.

The pain is located on her right anterior chest and she describes it as sharp and stabbing and is worse when she takes a deep breath.

The EKG in triage shows she's in sinus rhythm at a rate of 114 without signs of ischemia.

She appears anxious and when asked, she states she has a history of panic attacks. She denies cough, URI symptoms, back pain, fever, leg swelling. There has been no recent travel, no prolonged immobilization, but she does take birth control pills.

How comfortable do you feel managing this patient?

Today we'll be discussing pulmonary embolism!

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