Diagnosis of pulmonary embolus by spiral CT: a case study.
A thirty-eight-year old immunosuppressed woman presented with respiratory distress and was diagnosed with Pneumocystis Carinii Pneumonia. Pulmonary embolism was also suspected on clinical grounds. A Ventilation-Perfusion Scan was indeterminate. Contrast-enhanced spiral computed tomography of the chest confirmed the presence of a central pulmonary embolus and helped to avoid pulmonary angiography in this critically ill patient.
Clark
K
K
Dept. of Internal Medicine, West Virginia University School of Medicine, Morgantown, USA.
Salim
A
A
Willis
J A
JA
D000328:Adult; D000900:Anti-Bacterial Agents; D000925:Anticoagulants / Q000627:therapeutic use; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D005260:Female; D005343:Fibrinolytic Agents / Q000627:therapeutic use; D005500:Follow-Up Studies; D006493:Heparin / Q000627:therapeutic use; D006801:Humans; D016867:Immunocompromised Host; D011020:Pneumonia, Pneumocystis / Q000150:complications; D011655:Pulmonary Embolism / Q000150:complications / Q000000981:diagnostic imaging* / Q000628:therapy; D013902:Radiography, Thoracic; D012131:Respiratory Insufficiency / Q000209:etiology; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016306:Vena Cava Filters
D000900:Anti-Bacterial Agents; D000925:Anticoagulants; D005343:Fibrinolytic Agents; D006493:Heparin