Cardiac Tamponade [Anaphylaxis Misdiagnosis]

Case #53

A 64-year-old woman was diagnosed with a lung mass.

She saw Dr. A, a cardiothoracic surgeon, and was scheduled for a resection of her left lower lobe.

She became hypotensive at multiple points during the operation.

The surgeon felt that she was having an anaphylactic reaction to antibiotics.

However, in the PACU, she was found to have cardiac tamponade.

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