key: cord-0683889-d4ilx1vu
authors: Harris, Jordan; Omron, Rodney
title: Woman with dyspnea
date: 2020-07-15
journal: J Am Coll Emerg Physicians Open
DOI: 10.1002/emp2.12190
sha: ba281ee7252c57105b33af89da11a8e05edc2f53
doc_id: 683889
cord_uid: d4ilx1vu

nan

A 57-year-old woman presented to the emergency department (ED) with new-onset dyspnea. She was employed at a nursing home and has a past medical history significant for HIV and type II diabetes.

Three days before presenting to the ED, she was sent home from work after developing a dry cough, fever, and myalgias. The following day she developed shortness of breath with exertion and lost her sense of taste. On the day of the presentation, she began to experience dyspnea at rest. Physical examination was notable for a respiratory rate of 24, a heart rate of 110, and diminished breath sounds in lung bases.

Bedside ultrasound showed thickened and disrupted pleural line and fused B-lines that is referred to as a "light beam" with an on-off effect (seen here in Figure 1 with M-mode with curvilinear transducer). 1 wileyonlinelibrary.com/journal/emp2

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