Pulmonary Embolism Patient- Clinical Scenario and Diagnosis-

•A 42 year old lady from murree visited our hospital for the evaluation of her left leg swelling that she noticed about 2 weeks back. While entering through the gate of Holyfamily Hospital she suddenly collapsed and was rushed to Emergency Department, where she regained consciousness but was dyspneic. Her examination was unremarkable except for a respiratory rate of 32/min.

•What is the likely clinical diagnosis? How it can be confirmed? And how will you further evaluate this patient?

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Answer
D-dimers of the patient were advised

•Patients value:   1600ng/ml

•Normal value:  <200ng/ml

Doppler studies were performed
Venous Doppler left lower limb showed evidence of Deep Venous Thrombosis(DVT)

•This is a classical scenario of Pulmonary Embolism.

ECG shows Q3T3 pattern in our patient

A classical ECG in a pulmonary embolism patient shows S1Q3T3

•D-dimers are markedly elevated and there is established DVT

•CT chest proved pulmonary embolism, showing hypo dense areas in bilateral main pulmonary arteries territory