What condition is indicated by a patient experiencing chest pain upon deep breaths, particularly after recent surgery?

Prepare for the Rosh Internal Medicine Boost End of Rotation (EOR) Exam with flashcards and multiple-choice questions. Each question offers hints and explanations to help you excel. Get exam-ready now!

The scenario described involves a patient who is experiencing chest pain upon deep breaths following recent surgery, which is indicative of a pulmonary embolism. This condition arises when a blood clot travels to the lungs, obstructing blood flow in the pulmonary arteries, and is a known complication after surgery, particularly in patients who may have limited mobility or are at increased risk for venous thromboembolism.

Pulmonary embolism typically presents with symptoms such as sharp chest pain that may worsen with deep breathing (pleuritic pain), shortness of breath, and possibly hemoptysis. The acute nature of chest pain after surgery, combined with the description of pain on inspiration, aligns well with this diagnosis.

Recognizing the risk factors for pulmonary embolism after surgery, such as immobility and possible use of estrogen-containing medications or other risk factors like obesity or a history of thromboembolism, further supports the importance of considering this condition in the postoperative setting.

In this context, the other options may present with similar symptoms but do not encapsulate the acute presentation related to recent surgery as effectively as pulmonary embolism does. For instance, while pneumothorax can cause chest pain and may occur post-surgery, it often presents with additional signs such

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