Pulmonary Embolism andDeepVenous Thrombosis in Patients HospitalizedWith Syncope: AMulticenter Cross-sectional Study in Toronto, Ontario, Canada The prevalence of pulmonary embolism (PE) among patients hospitalized with syncope is uncertain. The recently published Pulmonary Embolism in Syncope Italian Trial (PESIT)1 systematically evaluatedpatientshospitalizedwith a first episode of syncope and...

Introduction: Physicians who care for trauma patients should be aware of the possibility of a pulmonary embolism presenting immediately after traumatic injury. Case Report: We report a case of a 30­year­old female restrained driver who developed a pulmonary embolism within two hours of a motor vehicle accident. Conclusion: We conclude that trauma can produce a hypercoagulable state that can occ...

The diagnosis of acute pulmonary embolism has always been challenging. However, it has recently been greatly assisted through advances in radiological imaging. While imaging techniques are widely available, they cannot always be utilized. We report a case of acute pulmonary embolism in a patient with several prior pulmonary resections that would likely result in a non-diagnostic V/Q scan and ac...

Pulmonary embolism (PE) is a fatal clinical condition that occurs as a result of mechanical obstruction of the pulmonary artery or its branches by any material (such as thrombus, air or fat) from anywhere in the body. Pulmonary embolism can be an acute condition, in which the signs and symptoms develop immediately after the event (i.e., the obstruction of the pulmonary vessels), or it can be ch...

We present a rare case of pulmonary intimal sarcoma mimicking pulmonary embolism in a 40-year-old woman. Although extremely rare, these tumors must be considered in patients who present inappropriate imaging findings that suggest embolism. Chest computed tomography is the modality of choice to determine the extent of the tumor. We present a female patient with suspected embolism that was in fac...

We report a case of a young patient presenting concomitant pulmonary artery embolism and an intra-aortic thrombus occluding the left subclavian artery due to a patent foramen ovale. This patient was treated under short circulatory arrest and unilateral cerebral perfusion allowing aortic and pulmonary embolectomy and closure of the small PFO. Follow up was uneventful so this case shows a success...

We describe a case which highlights the difficulties in diagnosing pulmonary embolism as it can mimic other conditions. In a patient with chest pain with raised troponin, a diagnosis of pulmonary embolism should also be considered as well if the clinical picture does not fit with myocardial infarction. Otherwise, the diagnosis of pulmonary embolism can be easily missed and patients may not rece...

PURPOSE To formulate comprehensive recommendations for the diagnostic approach to patients with suspected pulmonary embolism, based on randomized trials. METHODS Diagnostic management recommendations were formulated based on results of the Prospective Investigation of Pulmonary Embolism Diagnosis II (PIOPED II) and outcome studies. RESULTS The PIOPED II investigators recommend stratificatio...

The assessment of a patient with pleuritic chest pain calls for a high degree of clinical acumen and a high degree of suspicion that the diagnosis might be pulmonary embolism. This area is one of the most difficult in A&E medicine (and indeed chest medicine). One error is to "think the best" when considering the diagnosis in such patients but experience soon teaches to "think PE" and diagnose l...

BACKGROUND Fat embolism is a common complication of orthopedic surgery. However, the exact component and risk factor responsible for this complication remains unelucidated. This study aimed to detect the origin of the pulmonary embolus and identify relevant risk factors of pulmonary embolism in total knee replacement. METHODS A total of 40 osteoarthritis patients who underwent primary unilate...