An Unusual Presentation of an Unprovoked Pulmonary Embolism; Diagnostic Challenges in the Emergency Department
Journal Title: Indian Journal of Emergency Medicine - Year 2018, Vol 4, Issue 2
Abstract
Pulmonary embolism is a life-threatening condition and in most cases the presentation is typical with h/o pleuritic chest pain, breathlessness and h/o prolonged immobilization. However unusual presentations are not very rare and its awareness can avoid delay in its diagnosis and prevent mortality. A 23 years old male presented to ER with non-specific complaints of right upper quadrant pain and fever for 2 days. His vital signs were within normal limits apart from tachycardia and all initial investigations were normal. Due to his increased breathlessness, Well’s score was checked but it was zero. However D-dimer was done which showed high values 1000ng/ml following which CTPA was performed that showed multiple right sided pulmonary emboli. He was then started on LMWH and Direct thrombin inhibitor and was discharged after 4 days. The purpose of publishing this case is to make physicians aware of the unusual presentations of pulmonary embolism and that too in a patient who did not have any known risk factors.
Authors and Affiliations
Pallavi Sehgal
Keywords
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- EP ID EP553000
- DOI 10.21088/ijem.2395.311X.4218.23
- Views 127
- Downloads 0
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