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Utilization of bedside ultrasound in the diagnosis and management of massive pulmonary embolism: a case report
The prompt diagnosis and treatment of massive pulmonary embolism is a well-known challenge for physicians. We report a case of a 61-year-old hemodynamically unstable man who presented to the emergency department with complaints of acute dyspnea. After performing a focused history and physical, we us...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5128386/ https://www.ncbi.nlm.nih.gov/pubmed/27920878 http://dx.doi.org/10.1016/j.radcr.2016.09.004 |
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author | Abbasi, Osman Z. Doan, Thanhnga T. Duggal, Sumit Nair, Sanjeev U. Quinn, Shawn M. |
author_facet | Abbasi, Osman Z. Doan, Thanhnga T. Duggal, Sumit Nair, Sanjeev U. Quinn, Shawn M. |
author_sort | Abbasi, Osman Z. |
collection | PubMed |
description | The prompt diagnosis and treatment of massive pulmonary embolism is a well-known challenge for physicians. We report a case of a 61-year-old hemodynamically unstable man who presented to the emergency department with complaints of acute dyspnea. After performing a focused history and physical, we used bedside ultrasound to diagnose significant right heart strain, which suggested massive bilateral pulmonary embolisms. This diagnosis was further supported by the visualization of deep venous thrombosis in the left lower extremity. The patient was treated with IV tissue plasminogen activator in the emergency department and survived to discharge in his usual state of health. |
format | Online Article Text |
id | pubmed-5128386 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-51283862016-12-05 Utilization of bedside ultrasound in the diagnosis and management of massive pulmonary embolism: a case report Abbasi, Osman Z. Doan, Thanhnga T. Duggal, Sumit Nair, Sanjeev U. Quinn, Shawn M. Radiol Case Rep Case Report The prompt diagnosis and treatment of massive pulmonary embolism is a well-known challenge for physicians. We report a case of a 61-year-old hemodynamically unstable man who presented to the emergency department with complaints of acute dyspnea. After performing a focused history and physical, we used bedside ultrasound to diagnose significant right heart strain, which suggested massive bilateral pulmonary embolisms. This diagnosis was further supported by the visualization of deep venous thrombosis in the left lower extremity. The patient was treated with IV tissue plasminogen activator in the emergency department and survived to discharge in his usual state of health. Elsevier 2016-10-19 /pmc/articles/PMC5128386/ /pubmed/27920878 http://dx.doi.org/10.1016/j.radcr.2016.09.004 Text en © 2016 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case Report Abbasi, Osman Z. Doan, Thanhnga T. Duggal, Sumit Nair, Sanjeev U. Quinn, Shawn M. Utilization of bedside ultrasound in the diagnosis and management of massive pulmonary embolism: a case report |
title | Utilization of bedside ultrasound in the diagnosis and management of massive pulmonary embolism: a case report |
title_full | Utilization of bedside ultrasound in the diagnosis and management of massive pulmonary embolism: a case report |
title_fullStr | Utilization of bedside ultrasound in the diagnosis and management of massive pulmonary embolism: a case report |
title_full_unstemmed | Utilization of bedside ultrasound in the diagnosis and management of massive pulmonary embolism: a case report |
title_short | Utilization of bedside ultrasound in the diagnosis and management of massive pulmonary embolism: a case report |
title_sort | utilization of bedside ultrasound in the diagnosis and management of massive pulmonary embolism: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5128386/ https://www.ncbi.nlm.nih.gov/pubmed/27920878 http://dx.doi.org/10.1016/j.radcr.2016.09.004 |
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