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Hard Saturday, Sep 19 Pulmonology
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Pleuritic Pain After Long Flight

38F develops sudden dyspnea and pleuritic chest pain after a 12-hour flight. She has unilateral calf swelling and tachycardia. This is a teaching case selected for the September 2026 daily challenge.
VITALS: HR 116, SpO2 91%

❓ What is the most likely diagnosis?

💡

Clinical Analysis

Diagnosis: Pulmonary embolism
Key Insight

Recent prolonged immobility, unilateral leg swelling, tachycardia and sudden pleuritic symptoms strongly suggest pulmonary embolism. The diagnosis should be made from the overall clinical pattern rather than a single isolated clue.

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The Barking Child
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Midnight Pain
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The Persistent Cough
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