Problem Case – ECG and Breathlessness

DESCRIPTION

A 39-year-old woman presents with a two-week history of shortness of breath on mild exertion. Her medical history is significant for a brother diagnosed with lung cancer six weeks ago. This case prompts a consideration of differential diagnoses, including potential malignancies and pulmonary conditions. Essential history-taking and initial investigations such as FBC, ESR, chest X-ray, and ECG are discussed, as the practice lacks venesection facilities. The ECG findings are reviewed for changes that could inform urgent management options.

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Feb 09, 2026

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Problem Case – ECG and Breathlessness

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Problem Case – ECG and Breathlessness Dr S Chauhan
A 39 year old lady with a two week history of shortness of breath on mild exertion. • What would be the differential diagnosis? • What other history do we need? The only other history of note is that her brother who is 15 years older has been diagnosed as having lung cancer 6 weeks ago.
What initial investigations would you pick from the following and why? • None • Urine • FBC • TFT • RFT • ESR • Chest x-ray • ECG • Other
The Practice that you are working in does not have any venesection facilities or an ECG. What choice of actions do you have? The ECG taken of this lady is shown over the page