Case of the Week
A new clinical case every week — submitted, reviewed and answered by our clinician team. Test your clinical reasoning before revealing the answer.
The Breathless Night-Shift Nurse
Clinical Presentation
A 28-year-old female nurse presents to ED at 3am with sudden-onset left-sided pleuritic chest pain and dyspnoea. She started the combined oral contraceptive pill 6 weeks ago. HR 112, RR 24, SpO₂ 93% on air, BP 118/72. Chest is clear.
Your Question
What is the most likely diagnosis, and what is the single best initial investigation?
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