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Breathless, and she can't lie flat

Clinical caseCardiology4 min

Practice content from the PubDaily app · clinical review pending (see our medical review process).

A 74-year-old woman with a 15-year history of COPD and a myocardial infarction two years ago is brought in at 02:10, unable to lie flat, with pink frothy sputum. Sats climb slowly on high-flow oxygen.

Is this a COPD exacerbation, cardiogenic pulmonary edema, or both — and what discriminates it fastest?