Clot in Transit: Point-of-Care Ultrasound Diagnosis of Acute Pulmonary Embolism

Singh, Maninder; Guha, Debayan; Patterson, Beth

doi:10.1016/j.jemermed.2021.01.035

Cited by 5 publications

(3 citation statements)

References 3 publications

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“…Stigmata of PE, which can be identified by TTE in haemodynamic crisis include not only right ventricular dilatation but also free floating right heart thrombus and McConnell's sign. [2][3][4][5]8,9 In the OSCAR MP JOLOBE Retired geriatrician, Manchester, UK…”

Section: Vithyaa Premjeyanthmentioning

confidence: 99%

Chronic diarrhoea

John

Lawton

2021

Clinical Medicine

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Ottawa rule did not miss any important intracranial diagnosis in this cohort, including viral meningitis (n=6; 1.6%), subdural haematoma (n=3; 0.8%), intraparenchymal haemorrhage (n=5; 1.4%), arteriovenous malformation (n=2; 0.6%) and primary brain neoplasm (n=1; 0.3%). The scope of the Ottawa rule therefore may be wider than previously described and its clinical applicability may not be limited only to patients with a thunderclap headache. This study, however, is retrospective. These results should therefore be considered as hypothesis generating rather than confirmatory and would require validation within the context of a prospective study.The results of our study add to the growing body of evidence for the use of this tool and although it will not usurp the opinion of the clinician it may be helpful for risk stratification and to facilitate the discussion with radiological colleagues when requesting CT in patients with acute non-traumatic headache presenting to the emergency department. ■ As such, we would like to remind our colleagues to remember that the itchy (rash free) patient can be a classic presentation of iron deficiency (with or without anaemia). ■

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Section: Vithyaa Premjeyanthmentioning

confidence: 99%

Chronic diarrhoea

John

Lawton

2021

Clinical Medicine

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“…■ latter contexts as well, CTPA can be deferred and pre-emptive thrombolysis initiated instead. 8,9 Alternatively, emergency pulmonary embolectomy might be deployed, as was the case in a haemodynamically compromised PE patient in whom transoesophageal echocardiography showed McConnell's sign as well as impending paradoxical embolism characterised by a thrombus straddling a patent foramen ovale. 10 ■…”

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confidence: 99%

mentioning

confidence: 99%

Point-of-care transthoracic echocardiography

Jolobe¹

2021

Clinical Medicine

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We have made huge progress with regards to awareness of HIV, but we must normalise testing in both primary and secondary care to decrease late and unknown HIV diagnoses. ■ latter contexts as well, CTPA can be deferred and pre-emptive thrombolysis initiated instead. 8,9 Alternatively, emergency pulmonary embolectomy might be deployed, as was the case in a haemodynamically compromised PE patient in whom transoesophageal echocardiography showed McConnell's sign as well as impending paradoxical embolism characterised by a thrombus straddling a patent foramen ovale. 10 ■

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Other Lessons Could Be Learned

Jolobe¹

2021

The American Journal of Medicine

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Clot in Transit: Point-of-Care Ultrasound Diagnosis of Acute Pulmonary Embolism

Cited by 5 publications

References 3 publications

Chronic diarrhoea

Chronic diarrhoea

Point-of-care transthoracic echocardiography

Other Lessons Could Be Learned

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