Never say never: Identification of acute pulmonary embolism on non-contrast computed tomography imaging

被引：5

作者：

Thom, Christopher ^{[1
]}

Lewis, Nathan ^{[1
]}

机构：

[1] Virginia Commonwealth Univ Hlth Syst, Univ Virginia Hlth Syst, Richmond, VA USA

来源：

AMERICAN JOURNAL OF EMERGENCY MEDICINE | 2017年 / 35卷 / 10期

关键词：

Pulmonary embolism; Imaging; Undifferentiated hypotension; CHRONIC KIDNEY-DISEASE; EMERGENCY-DEPARTMENT; PREVALENCE; CT;

D O I：

10.1016/j.ajem.2017.07.052

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Acute undifferentiated illness remains a critical challenge for the emergency physician. The diagnostic evaluation and treatment decisions on such severely ill patients often needs to be made in an expedited fashion. Situations occur where in the ideal or recommended workup is not always feasible due to time or patient specific factors. We present two cases of patients with undifferentiated acute illness who had undergone non-contrast CT (computed tomography) scanning and subsequently had central pulmonary embolism identified upon careful review of their CT studies. (C) 2017 Elsevier Inc. All rights reserved.

引用

页码：1584.e1 / 1584.e3

页数：3

共 15 条

[1] Computerized tomographic pulmonary angiography versus ventilation perfusion lung scanning for the diagnosis of pulmonary embolism [J].

Anderson, David R. ;

Barnes, David C. .

CURRENT OPINION IN PULMONARY MEDICINE, 2009, 15 (05) :425-429

[2]

Barrellier MT, 2001, J MAL VASCUL, V26, P23

[3] Clinical usefulness of computed tomography study without contrast injection in the evaluation of acute pulmonary embolism [J].

Cobelli, R ;

Zompatori, M ;

De Luca, G ;

Chiari, G ;

Bresciani, P ;

Marcato, C .

JOURNAL OF COMPUTER ASSISTED TOMOGRAPHY, 2005, 29 (01) :6-12

[4] Prevalence of chronic kidney disease in the United States [J].

Coresh, Josef ;

Selvin, Elizabeth ;

Stevens, Lesley A. ;

Manzi, Jane ;

Kusek, John W. ;

Eggers, Paul ;

Van Lente, Frederick ;

Levey, Andrew S. .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2007, 298 (17) :2038-2047

[5] D-dimer test for excluding the diagnosis of pulmonary embolism [J].

Crawford, Fay ;

Andras, Alina ;

Welch, Karen ;

Sheares, Karen ;

Keeling, David ;

Chappell, Francesca M. .

COCHRANE DATABASE OF SYSTEMATIC REVIEWS, 2016, (08)

[6] Right Ventricular Dilatation on Bedside Echocardiography Performed by Emergency Physicians Aids in the Diagnosis of Pulmonary Embolism [J].

Dresden, Scott ;

Mitchell, Patricia ;

Rahimi, Layla ;

Leo, Megan ;

Rubin-Smith, Julia ;

Bibi, Salma ;

White, Laura ;

Langlois, Breanne ;

Sullivan, Alison ;

Carmody, Kristin .

ANNALS OF EMERGENCY MEDICINE, 2014, 63 (01) :16-24

[7] Critical Issues in the Evaluation and Management of Adult Patients Presenting to the Emergency Department With Suspected Pulmonary Embolism [J].

Fesmire, Francis M. ;

Brown, Michael D. ;

Espinosa, James A. ;

Shih, Richard D. ;

Silvers, Scott M. ;

Wolf, Stephen J. ;

Decker, Wyatt W. .

ANNALS OF EMERGENCY MEDICINE, 2011, 57 (06) :628-652

[8] Anaphylactoid and adverse reactions to radiocontrast agents [J].

Hagan, JB .

IMMUNOLOGY AND ALLERGY CLINICS OF NORTH AMERICA, 2004, 24 (03) :507-+

[9] Frequency and Severity of Adverse Effects of Iodinated and Gadolinium Contrast Materials: Retrospective Review of 456,930 Doses [J].

Hunt, Christopher H. ;

Hartman, Robert P. ;

Hesley, Gina K. .

AMERICAN JOURNAL OF ROENTGENOLOGY, 2009, 193 (04) :1124-1127

[10] Original report - Six cases of acute central pulmonary embolism revealed on unenhanced multidetector CT of the chest [J].

Kanne, JP ;

Gotway, MB ;

Thoongsuwan, N ;

Stern, EJ .

AMERICAN JOURNAL OF ROENTGENOLOGY, 2003, 180 (06) :1661-1664

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