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A 66-Year-Old Woman With Hypoxia and Shock

      A 66-year-old woman with a history of oligodendroglioma, who had recently undergone tumor debulking and was discharged 4 days previously, presented to the ED after a fall. She complained of global weakness. She was ill-appearing and diaphoretic. Her vital signs revealed a BP of 65/52 mm Hg, pulse 97 beats/min, respiratory rate 25 breaths/min, temperature 37.2 °C, and pulse oximetry 80% on ambient air. A point of care echocardiogram was performed, including parasternal long and short access views (Video 1). After her initial resuscitation, she underwent CT of the head and CT angiography of the chest. She had no acute intracranial injury from her fall.
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