417: Unsuspected Pulmonary Embolism in Observation Unit Patients
نویسندگان
چکیده
منابع مشابه
Unsuspected Pulmonary Embolism in Observation Unit Patients
OBJECTIVE Many emergency department (ED) patients with cardiopulmonary symptoms such as chest pain or dyspnea are placed in observation units but do not undergo specific diagnostic testing for pulmonary embolism (PE). The role of observation units in the diagnosis of PE has not been studied. We hypothesized that there was a small but significant rate of unsuspected PE in our observation unit po...
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Pulmonary embolism (PE) is a challenging diagnosis for emergency physicians because of its non-specific clinical presentation. Although " chest pain " is one of the major symptoms of PE, 1 it can be part of other serious diagnoses, such as aortic dissection, acute coronary syndrome (ACS), pneumothorax, or even pneumonia. New guidelines recommend using revised Geneva and Wells scores to predict ...
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The presentation of PE is often subtle and may mimic other diseases. Many pulmonary emboli invariably preclude diagnosis by their occult nature or by leading to rapid death from cardiopulmonary arrest. In patients who do manifest symptoms from PE, accurate diagnosis is essential. Often it is difficult to distinguish the vague symptoms of PE from other diagnoses, such as acute coronary syndrome,...
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Care Med 2001;164:1008–11. 8 Kanazawa H, Hirata K, Yoshikawa J. Accelerated decline of lung function in COPD patients with chronic hepatitis C virus infection: a preliminary study based on small numbers of patients. Chest 2003;123:596–9. 9 Schols AM, Slangen J, Volovics L, et al. Weight loss is a reversible factor in the prognosis of chronic obstructive pulmonary disease. Am J Respir Crit Care ...
متن کاملClinical characteristics and outcomes of patients with clinically unsuspected pulmonary embolism versus patients with clinically suspected pulmonary embolism.
BACKGROUND The routine use of multidetector computed tomography has led to increased detection of unsuspected pulmonary embolism (UPE), with questionable benefit for diagnosis and treatment. OBJECTIVE The purpose of this work was to compare the clinical characteristics and prognosis of patients with UPE to patients with suspected PE (SPE). METHODS We retrospectively reviewed the charts of p...
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ژورنال
عنوان ژورنال: Annals of Emergency Medicine
سال: 2007
ISSN: 0196-0644
DOI: 10.1016/j.annemergmed.2007.06.466