ElectricPE: The Diagnosis of Pulmonary Embolism: Case Study 12
Jeffrey R. Galvin, M.D. and James J. Choi, B.S.
Peer Review Status: Internally Reviewed
One week after admission to the surgical ICU, he developed severe
hypoxemia and required mechanical ventilation. His chest x-ray was
essentially unchanged and a pulmonary angiogram was requested.
The left pulmonary artery was injected first which demonstrated
completely normal pulmonary vasculature.
The right pulmonary injection showed a complete occlusion of the
right upper lobe pulmonary artery.
25 year old male who was intubated and mechanically ventilated after a severe motor vehicle accident. He presents with severe hypoxemia.
Case Assessment
This patient presents with a common predisposition to deep venous
thrombosis and pulmonary embolus, bed rest. The common predisposing
factors to deep venous thrombosis are, immobilization, surgery,
fracture, malignancy, thrombophlebitis, trauma, estrogen therapy,
obesity, myocardial infarction, and stroke.
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