INFORMATION SYMPTOMS PE, LAB RES, INVESTIGATIONS HYPOTHESIS LOB's
secondary pulmonary embolism pulmonary vasculature and
46 year old mom of 3 acute pain in the chest oxygen saturation is 93% due to deep vein thrombosis anatomy of the LUNGS differences between embolus, difficulty breathing, shortness of presents to ER by her husband temperature is 37.2º C thrombus, air, fat, malignant breath tissue thrombosis and fibrinolysis has a good health pain in the right calf after the flight pulse is 76 bpm process felt the pain once more on the was on a holiday in turkey blood pressure is 142/85 mmHg risk factors for thrombosis flight back took paracetamol to relieve the had pain in the right side of the heart sounds I +, II +, O all about DVT pain chest today felt less pain when straightening had haemoptysis, and then respiratory rate is 25 breaths per all about pulmonary embolus the back coughed large amount of blood mminute increased pain during inspiration, possible changes in arterial blood couldnt continue her daily routine vesicular breath sound coughing, and walking gases and ECG in PE her GP advised her to go to the radiological investigations used to difficulty breathing while walking normal vocal resonance ER investigate pulmonary embolus takes hormone replacement varicose vein in the right leg normal abdomen examinations CXR in PE therapy but no other medication during pregnancy HRT for night sweats and copious sudden stops for inspiration, pain in the right calf with no menstrual bleeding before D dimer breathing is not normal redness or edema menopause drinks 14 units of alcohol a week, subsegmental collapse in the left differences between secondary thromboembolism but doesnt smoke lower lobe, and pleural effusion Paracethamol and morphin symptoms became worse after 48 pulmonary embolism to the left allergic to penicillin fibrin formation and fibrinolysis hours of hospitalization lower lobe the effect of the autonomic she is a manager in a polyclinic PO2 = 9.6 nervous system on heart and blood vessels her both parents had DVT PCO2 = 4.5 pulmonary embolus treatment therapy of heparin, warfarin and doesnt look heatly HCO3 = 22 thrombolytic agents was given IV morphine to releive anticoagulant medications and D-dimers = 0.8 the pain other drugs IV heparin was also administered after 48h, pulse is 120bpm impaired haemostasis symptoms warfin will be given after the bp is 110/70 mmHg lifestyle advice confirmed diagnosis increased jugular venous pressure Cardiac sounds I +,II +, IV plus Respiratory rate 36 per minute Oxygen saturation 80%