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Pulmonary Embolism

USU Teaching File MUTF - MedPix (2006)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Pulmonary Embolism

History: 42 y/o AAM with hx/of LLE DVT, presents to ER with acute shortness of breath and chest pain

Findings: CXR- bilateral small pleural effusions,no Westermark’s sign or Hampton’s hump. There may be slight evidence of acute PAH with enlarged PA's on lateral view. Spiral Chest CT demonstrating bilateral filling defects found in the right and left pulmonary arteries. US of L common femoral vein and artery show decreased compressibility of vein with highly diminished blood flow.

Ddx: Pulmonary Embolism Old PE with other pulmonary or cardiac etiologies of the patient’s pain: MI, Pericarditis, Esophageal rupture, Pneumonia, Pneumothorax, Asthma, COPD However, these other possibilities on the differential were not supported by ECG, CT, or the patient’s clinical presentation/history

Exam: VS: BP-140/90 HR-103 RR-22 SpO2-94% Tc-98.7F Gen- middle aged obese male, in mild distress; Cardiac- tachycardic, no appreciable m/r/g; Pulm- tachypnic, slightly diminished breath sounds bilaterally with bibasilar coarse breath sounds; Abd- non-distended, mild TTP LLQ, NABS; Extr- (+) LLE mild edema with thigh pain, pulses intact throughout

No MeSH data available.


CXR- bilateral small pleural effusions,no Westermark’s sign or Hampton’s hump
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MPX2228_synpic15169: CXR- bilateral small pleural effusions,no Westermark’s sign or Hampton’s hump


Pulmonary Embolism

USU Teaching File MUTF - MedPix (2006)

CXR- bilateral small pleural effusions,no Westermark’s sign or Hampton’s hump
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2228&req=5

MPX2228_synpic15169: CXR- bilateral small pleural effusions,no Westermark’s sign or Hampton’s hump

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Pulmonary Embolism

History: 42 y/o AAM with hx/of LLE DVT, presents to ER with acute shortness of breath and chest pain

Findings: CXR- bilateral small pleural effusions,no Westermark’s sign or Hampton’s hump. There may be slight evidence of acute PAH with enlarged PA's on lateral view. Spiral Chest CT demonstrating bilateral filling defects found in the right and left pulmonary arteries. US of L common femoral vein and artery show decreased compressibility of vein with highly diminished blood flow.

Ddx: Pulmonary Embolism Old PE with other pulmonary or cardiac etiologies of the patient’s pain: MI, Pericarditis, Esophageal rupture, Pneumonia, Pneumothorax, Asthma, COPD However, these other possibilities on the differential were not supported by ECG, CT, or the patient’s clinical presentation/history

Exam: VS: BP-140/90 HR-103 RR-22 SpO2-94% Tc-98.7F Gen- middle aged obese male, in mild distress; Cardiac- tachycardic, no appreciable m/r/g; Pulm- tachypnic, slightly diminished breath sounds bilaterally with bibasilar coarse breath sounds; Abd- non-distended, mild TTP LLQ, NABS; Extr- (+) LLE mild edema with thigh pain, pulses intact throughout

No MeSH data available.