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Query: UMLS:C0034065 (
pulmonary embolism
)
14,979
document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)
The presenting symptoms of acute renal vein thrombosis (RVT) can often be confused with those of
nephrolithiasis
. Delayed diagnosis and treatment of RVT can result in catastrophic complications, including loss of renal function and
pulmonary embolism
. A high clinical suspicion and early imaging with computed tomography or magnetic resonance imaging will allow early initiation of therapy and prevention of thrombus extension in patients with RVT.
...
PMID:Renal vein thrombosis: a case report. 1802 50
Ovarian vein thrombosis (OVT) is a rare cause of abdominal pain that may mimic a surgical abdomen. The differential diagnosis of OVT includes acute appendicitis, endometritis, pelvic inflammatory disease, pyelonephritis,
nephrolithiasis
, tubo-ovarian abscess, and ovarian torsion. The complications of OVT, including sepsis and
pulmonary embolism
, are significant. Diagnosis relies on a careful examination of the radiographic findings. This diagnosis should be considered not only in postpartum patients but also in women with pelvic inflammatory disease, recent abdominal surgery, malignancy, or known hypercoagulable state. In this report we present a case of OVT in a 29-year-old woman presenting with 3 days of sharp left-sided abdominal pain, nausea, and vomiting after bilateral salpingectomy. We then discuss the epidemiology, pathophysiology, and clinical management of OVT.
...
PMID:Ovarian vein thrombosis: a rare cause of abdominal pain outside the peripartum period. 1819 26
An 82-year-old male presented to the emergency department with an acute onset of chest pain and mild shortness of breath at rest. The pain in his left lower chest was pleuritic with intensity 9- on a 10-point scale. He had driven 2 h in his car that day, but had no other prolonged immobility. About 15 years previously, he was found to have increased hemoglobin (18.1 g/dL) and diagnosed with secondary erythrocytosis due to active smoking, chronic obstructive pulmonary disease (COPD), and residence in Payson, Arizona (altitude 4,999 ft). Polycythemia vera was entertained, but not pursued due to multiple secondary risks. He had been treated with daily aspirin and monthly phlebotomies to maintain a hematocrit below 45%. He also had a history of superficial thrombophlebitis,
nephrolithiasis
, hypertension and superficial transitional cell carcinoma of the bladder resected and in remission. There was also a deep venous thrombosis (DVT) and
pulmonary embolism
(PE) 13 years previously, believed to be provoked by prolonged immobility after a radical prostatectomy for prostate cancer now in remission. His medications were aspirin and lisinopril; he had no known drug allergies. He quit smoking 2 years prior after a 70 pack-year history. There was no other family history of thrombosis or bleeding disorder, autoimmune disorders, pulmonary disease or malignancy.
...
PMID:A surprising cause of masses in the chest. 2307 27
The year 2014 was marked by new therapeutic acquisitions in emergency medicine.
Nephrolithiasis
likelihood estimation should avoid imaging in patients at high risk. Therapeutic hypothermia post cardio-respiratory arrest has no benefit compared to a strategy of controlled normothermia. Treatment of acute bronchitis with no signs of severity by coamoxicillin or NSAIDs is useless. Adding colchicine to standard treatment of acute pericarditis reduces the rate of recurrence. The D-dimerthreshold adjustment by age reduces the number of imaging in case of low or intermediate risk of
pulmonary embolism
. Finally, the speed of the initial management of septic shock is crucial to the outcome of patients, but an early invasive monitoring provides no benefit.
...
PMID:[Emergency medicine: updates 2014]. 2579 57
Background:
Hydrogen peroxide (H
2
O
2
) is a common antiseptic that is available without a prescription in the United States, and it is indicated for minor dermal abrasion; mouth, gum, or dental irritations; and removal of oral secretion. Several other medical uses have also been described, including clot dissolution during endoscopic gastrointestinal evaluation, cleansing of orthopedic surgical sites, and bladder irrigation. However, these uses of H
2
O
2
, as well as high-dose ingestion, have been associated with a wide variety of medical complications, including but not limited to air
pulmonary embolism
and stroke.
Case Presentation:
Our patient is a 51-year-old female with a medical history of hypertension, familial, hypercholesterolemia, gallstones, depression, coronary artery disease (identified on calcium study because of familial hypercholesterolemia),
nephrolithiasis
, and recurrent cystitis. She required percutaneous nephrolithotomy and had H
2
O
2
administered for clot dissolution. The clinical and temporal evidence would suggest a transient pulmonary air embolus after the intrarenal administration of or irrigation with H
2
O
2
, large amounts under high pressure.
Conclusion:
This represents the first reported incidence of air embolus as a result of intrarenal administration of H
2
O
2
.
...
PMID:Oxygen Venous Embolism After Hydrogen Peroxide Use During Percutaneous Nephrolithotomy. 3098 25
