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Pulmonary Embolism, Right Heart Strain

Thigpen DMT - MedPix (2015)

View Article: MedPix Image - MedPix Case

Affiliation: National Capital Consortium

ABSTRACT

Diagnosis: Pulmonary Embolism, Right Heart Strain

History: this 76 y.o. woman, s/p abdominal surgery, now has sudden onset of chest pain and SOB. with decreased O2 saturation of 76% on room air

Findings: Chest Wall: Left Breast reconstruction with saline implant Pulmonary Signs on CT: Filling defects in pulmonary vessels Cardiac Signs on CT: Septal bowing (predictor of short term death) RV dilation Increased ratio of Pulmonary Art: Aorta Decrease in size of left atrium and pulmonary veins (decreased pulmonary venous return) Dilatation of IVC, hepatic veins, coronary sinus, azygous vein Increased ratio of Right to Left ventricle RV:LV

Ddx: Pulmonary embolism

Dxhow: imaging

Exam: Decreased O2 saturation Increased respiratory rate

No MeSH data available.


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Related In: Results  -  Collection

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Pulmonary Embolism, Right Heart Strain

Thigpen DMT - MedPix (2015)

© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1413&req=5

View Article: MedPix Image - MedPix Case

Affiliation: National Capital Consortium

ABSTRACT

Diagnosis: Pulmonary Embolism, Right Heart Strain

History: this 76 y.o. woman, s/p abdominal surgery, now has sudden onset of chest pain and SOB. with decreased O2 saturation of 76% on room air

Findings: Chest Wall: Left Breast reconstruction with saline implant Pulmonary Signs on CT: Filling defects in pulmonary vessels Cardiac Signs on CT: Septal bowing (predictor of short term death) RV dilation Increased ratio of Pulmonary Art: Aorta Decrease in size of left atrium and pulmonary veins (decreased pulmonary venous return) Dilatation of IVC, hepatic veins, coronary sinus, azygous vein Increased ratio of Right to Left ventricle RV:LV

Ddx: Pulmonary embolism

Dxhow: imaging

Exam: Decreased O2 saturation Increased respiratory rate

No MeSH data available.