MICA · General Practice & Urgent Care
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FICTIONAL CASE · SELF-REFLECTION WITHOUT A SCORE
A 72-year-old man develops sudden breathlessness after several days of immobility. He is tachycardic, without wheeze or fever. Saturation is only slightly reduced, but he becomes faint during examination.
Which finding immediately changes the priority?
Faintness requires assessment for circulatory instability and urgent assistance. The context makes pulmonary embolism plausible, without proving it. Near-normal saturation and few auscultatory findings are insufficient reassurance. Assessment and appropriate transfer take priority over an outpatient D-dimer result; keep other causes of breathlessness and shock under consideration.