Case Study#6   1  2  3  4  5  6  7  8  9  10  11  12  13  14  15  16   Physical Exam Tachycardic, RR 22, BP 90/40 (supine), afeb Orthostatic (HR 90120/min) with sitting O2 sat = 98-100% on room air Weak, but alert/oriented Pale conjunctivae and mucosa, HEENT otherwise normal Respiratory: clear CV: systolic ejection murmur at LSB Abdomen: benign Extremities: cool to wrists and ankles - 3sec capillary refill - Radial and dorsalis pedis pulses weak - Brachial and femoral pulses normal Neurologic: nonfocal GU: Bleeding per vagina, pelvic exam benign Skin: no petechiae or ecchymoses Breakpoint #1 What imaging studies would be useful at this time? What laboratory studies would you order?