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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...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2020
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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. |
format | Online Article Text |
id | pubmed-7493480 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
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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