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
Related Articles
- EP ID EP553000
- DOI 10.21088/ijem.2395.311X.4218.23
- Views 122
- Downloads 0
Beyond ACLS Protocol – A Rare Case of Refractory Supraventricular Tachycardia Responding Only to a Much Higher Dose of Adenosine
Symptomatic supraventricular tachycardia (SVT) is a common presentation in the Emergency Department which can be a lifethreatening condition and this requires immediate intervention. Stable SVTs are commonly treated with...
Study of Hypertension and Anthropometrics Measurement in Type 2 Diabetes Mellitus
Introduction: Type 2 DM has a strong genetic component. The disease is polygenic and multifactorial. Among the identical twins the concordance rate is 90%.In first-degree relatives with type 2 DM the risk of developing d...
Outcome of Patients with Acute Poisoning Treated with Gastric Lavage
Background: Acute poisoning is a medical emergency and preventable cause of morbidity and Mortality. Gastric lavage (GL) is one of the most commonly used decontamination method for poisoning in developing countries despi...
Clinical Profile of Diabetic Patients with Liver Dysfunction
The spectrum of clinical disease in fatty liver with steatohepatitis varies from the asymptomatic elevation of liver enzymes to severe liver disease with fibrosis and nodular regeneration. Patients with nonalcoholic stea...
Clinical Profile of Patients Admitted with Liver Cirrhosis and its Association with Portal Hypertension and Hematological Abnormalities
Background and Objectives: Portal hypertension (PHT) commonly accompanies cirrhosis of liver. Development of esophageal varices is one of the major complications of PHT. Present study was performed with objectives to stu...