CASO CLÍNICO C.R.O., 54 anos, sexo feminino, aposentada, procedente de Salvador e casada há 3 anos, chega à emergência com queixa de dor ventilatória dependente contínua, en pontada, de início súbito, na região infra-axilar do hemitórax direito há 9 horas. Refer piora da dor durante qualquer movimento, tosse e respiração. De intensidade 10 m escala de dor. Relata nunca ter sentido essa dor antes. Alega que juntamente com dor torácica, sentiu falta de ar. Diabética há 20 anos, hipertensa há 16 anos e cânce de mama há 8 anos. No exame físico, índice de massa corporal de 30,2 kg/m taquipnéica, com frequência respiratória de 27 irpm, saturação de 83% em a ambiente, e frequência cardíaca de 105 bpm com pressão de 140 x 90 mmHg. pulmão estava com os múrmurios vesiculares universalmente audíveis sem ruído
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