Pulmonary tumor embolism—diagnosis in the ED

For a definite diagnosis of pulmonary embolism, the patient underwent spiral (helical) computed tomographic (CT) scan of chest immediately. Furthermore, dyspnea is of high prevalence (65.8%) in the terminal patients with HCC and decompensated liver cirrhosis (Child-Pugh class C) [2], and the symptom...

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Bibliographic Details
Published in:The American journal of emergency medicine 2005-10, Vol.23 (6), p.808-810
Main Authors: Chi, Chun-Lin, Liu, Kao-Lang, Yuan, Ang, Lien, Wan-Ching, Chen, Wen-Jone, Wang, Hsiu-Po
Format: Article
Language:English
Subjects:
Abdomen
Adult
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Anticoagulants - therapeutic use
Biological and medical sciences
Blood clots
Carcinoma, Hepatocellular - complications
Computed tomography
Dyspnea - etiology
Emergency medical care
Emergency Medicine - methods
Heparin, Low-Molecular-Weight - therapeutic use
Humans
Intensive care medicine
Liver cancer
Liver Neoplasms - complications
Male
Medical diagnosis
Medical imaging
Medical sciences
Medical treatment
Metabolic diseases
Neoplastic Cells, Circulating
Obesity
Pneumology
Pulmonary Embolism - diagnosis
Pulmonary Embolism - drug therapy
Pulmonary Embolism - etiology
Pulmonary hypertension. Acute cor pulmonale. Pulmonary embolism. Pulmonary vascular diseases
Radiography
Tomography, Spiral Computed
Treatment Outcome
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Summary:For a definite diagnosis of pulmonary embolism, the patient underwent spiral (helical) computed tomographic (CT) scan of chest immediately. Furthermore, dyspnea is of high prevalence (65.8%) in the terminal patients with HCC and decompensated liver cirrhosis (Child-Pugh class C) [2], and the symptom often results from hepatic hydrothorax, elevation of diaphragm due to massive ascites, or pulmonary metastasis. [...]the differential diagnosis of dyspnea in patients with HCC is of great importance, and further management should be undertaken immediately to avoid severe subsequent complications. Among diagnostic modalities for pulmonary embolism, CT scan has 2 major advantages: the thrombus can be directly visualized and alternative diagnosis can be established on lung parenchymal images that are not evident on chest radiography.
ISSN:0735-6757
1532-8171
DOI:10.1016/j.ajem.2005.03.010