Abstract

An 80-year-old female with a past medical history of chronic heart failure with reduced ejection fraction, Aortic valve replacement, atrial fibrillation, and recurrent pulmonary embolism on Xarelto presented to the Emergency Room with complaints of cough, shortness of breath, and head trauma following a fall. HR 112 bpm, RR 18/min, SPO2 96% on 6L, BP 160/80 mmHg, Temp 37.2. She was fully oriented and had no focal neurologic deficit; however, she was in respiratory distress and had diffuse rhonchi and rales in both lungs.

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