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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...

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Detalles Bibliográficos
Autores principales: Abbasi, Osman Z., Doan, Thanhnga T., Duggal, Sumit, Nair, Sanjeev U., Quinn, Shawn M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2016
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.
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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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