Case Study: Dyspnea on Exertion in a Young Woman with Pulmonary Vascular Concerns

This chapter delves into the diagnostic journey of a young woman presenting with dyspnea on exertion, highlighting the significance of an accentuated pulmonic component of the second heart sound, history of smoking and oral contraceptive use, and indicators of pulmonary vascular disease. It covers the initial differential diagnosis, diagnostic tests including laboratory exams, chest x-ray, PFTs, echocardiogram, and the importance of a bubble study in suspected pulmonary hypertension cases.