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" Right Ventricular Dilation in Patient With Submassive Pulmonary Embolism "
Diez, Adrian; Bryczkowski, Christopher
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AL
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| Record Number
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927353
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LA2fn2739r
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| Language of Document
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English
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| Main Entry
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Diez, Adrian; Bryczkowski, Christopher
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| Title & Author
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Right Ventricular Dilation in Patient With Submassive Pulmonary Embolism [Article]\ Diez, Adrian; Bryczkowski, Christopher
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| Title of Periodical
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Journal of Education and Teaching in Emergency Medicine
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3/3
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| Date
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2018
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| Abstract
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ABSTRACT: History of present illness: A 73-year-old female with a past medical history of tracheobronchomalacia, obstructive sleep apnea, diabetes, chronic obstructive pulmonary disease (COPD) and congestive heart failure (CHF) presented to the emergency department with four days of moderate to severe dyspnea on exertion. She endorsed right calf pain for the last few weeks and bilateral leg swelling, as well as productive cough, orthopnea, and non-radiating chest tightness but denied any hemoptysis. She had no history of thromboembolic disease, nor did she have any family history of clotting disorders. She was not currently on any anticoagulation. The patient lives a sedentary lifestyle at baseline. Upon arrival, her vital signs were as follows: temperature 97.3 F, pulse 60 per min, respirations 34 per min, blood pressure 113/85 mmHg, and oxygen saturation 97% on 4L nasal cannula. Physical exam was notable for jugular venous distension and bilateral lower extremity pitting edema. Lungs were clear to auscultation.
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