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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:
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
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author King, Samantha A.
Kelly, Seth M.
Richardson, Adam C.
Fischer, Kyle R.
Smedley, Angela D.
author_facet King, Samantha A.
Kelly, Seth M.
Richardson, Adam C.
Fischer, Kyle R.
Smedley, Angela D.
author_sort King, Samantha A.
collection PubMed
description 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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spelling pubmed-74934802020-09-29 Two pulmonary emboli in a psych pod King, Samantha A. Kelly, Seth M. Richardson, Adam C. Fischer, Kyle R. Smedley, Angela D. J Am Coll Emerg Physicians Open The Practice of Emergency Medicine 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. John Wiley and Sons Inc. 2020-04-07 /pmc/articles/PMC7493480/ /pubmed/33000064 http://dx.doi.org/10.1002/emp2.12032 Text en © 2020 The Authors. JACEP Open published by Wiley Periodicals, Inc. on behalf of the American College of Emergency Physicians. This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle The Practice of Emergency Medicine
King, Samantha A.
Kelly, Seth M.
Richardson, Adam C.
Fischer, Kyle R.
Smedley, Angela D.
Two pulmonary emboli in a psych pod
title Two pulmonary emboli in a psych pod
title_full Two pulmonary emboli in a psych pod
title_fullStr Two pulmonary emboli in a psych pod
title_full_unstemmed Two pulmonary emboli in a psych pod
title_short Two pulmonary emboli in a psych pod
title_sort two pulmonary emboli in a psych pod
topic The Practice of Emergency Medicine
url 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
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