PMC8764359_01
Sequential imaging evaluations performed on Day 0. (A) The electrocardiogram on admission indicates ventricular tachycardia. (B) The abdominal CT indicates the presence of space. (C) The rapid bedside abdominal B-ultrasound prompts abdominal occupation.
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F1
The patient's bedside electrocardiogram showed a ventricular arrhythmia (Figure 1A), and her blood gas analysis showed hyperkalemia, hypocalcemia, and metabolic acidosis (Table 1). The cause of the patient's cardiogenic shock was therefore difficult to diagnose: was it really cardiogenic shock caused by fulminant myocarditis that led to an imbalance of the patient's homeostasis? Could an alternative reason result in internal environmental imbalance (low calcium, high potassium) and then cause cardiogenic shock? A bedside abdominal ultrasound at the bedside provided a key piece of evidence: an abdominal pelvic effusion with a substantial mass in the pelvic cavity (Figure 1C). The patient's outpatient computed tomography (CT) also showed pleural effusion and a pelvic space mass (Figure 1B), but due to the emergency situation, her CT images were not uploaded to the hospital imaging network on time.
The clinical timeline of the patient.
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F2
Twenty-one days after admission the patient's organ function had recovered well and she was awake and able to communicate normally (Figure 2).