Two pulmonary emboli in a psych pod

BACKGROUND: A female patient known to have schizoaffective disorder self‐presented to an emergency department in a state of acute agitation and paranoia shortly after a 35‐day inpatient stay at a psychiatric facility. CASE REPORT: The patient exhibited no signs or complaints of dyspnea or hypoxia, b...

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Detalles Bibliográficos
Autores principales: King, Samantha A., Kelly, Seth M., Richardson, Adam C., Fischer, Kyle R., Smedley, Angela D.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2020
Materias:
The Practice of Emergency Medicine
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7493480/
https://www.ncbi.nlm.nih.gov/pubmed/33000064
http://dx.doi.org/10.1002/emp2.12032
Descripción
Sumario:BACKGROUND: A female patient known to have schizoaffective disorder self‐presented to an emergency department in a state of acute agitation and paranoia shortly after a 35‐day inpatient stay at a psychiatric facility. CASE REPORT: The patient exhibited no signs or complaints of dyspnea or hypoxia, but later collapsed and became hypoxic after sleeping comfortably with sedation for 12 h in the psychiatric unit. She was intubated and a computed tomography angiogram revealed bilateral lobar pulmonary emboli and right heart strain. CONCLUSION: Psychiatric hospitalizations, medications, diagnoses and relevant sequelae increase venous thromboembolism risk more than many realize.

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