First Masquerading as Gallstones, Pulmonary Hypertension Mimics PE
First Masquerading as Gallstones, Pulmonary Hypertension Mimics PE作者机构：Mercy University Hospital Cork Ireland Prague Center for Global Health Institute of Hygiene and Epidemiology First Faculty of Medicine Charles University in Prague Prague Czech Republic Cork University Hospital Mercy University Hospital Cork Ireland Institute of Economic Studies Charles University in Prague Prague Czech Republic Institute of Hygiene and Epidemiology First Faculty of Medicine Charles University in Prague Prague Czech Republic
出 版 物：《Case Reports in Clinical Medicine》 (临床医学病理报告（英文）)
年 卷 期：2015年第4卷第12期
页 面：376-380页
学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学]
主 题：Venouse Thromboembolism (DVT) Cholylithisis Pulmonary Hypertension Emergency Medicine Assessment
摘 要：Patients presenting to emergency and urgent care centers with calf pain after long and short-haul flights are a common presentation throughout Europe. Patients fitting an epidemiological risk profile for cholelithiasis and presenting with right upper quadrant abdominal pain can also be a common presentation fitting of a specific patient profile. However, pulmonary hypertension can present in a nuanced and possible missed chronic and acute presentation. The patient case we present profiles a mildly obese 54-year-old Caucasian woman and recent holiday maker with unilateral calf pain and shortness of breath after traveling on a long-haul flight with tertiary symptoms of indigestion and epigastric discomfort indicative of gastroenteritis. This case highlights the required diligence for emergency physicians to maintain a high index of suspicion and broad differential diagnosis in the undifferentiated patient with seemingly common or classic presentations. We find that a serendipitous definitive diagnosis is made by following a systematic and organized approach.
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