Authors:
Raghav (MBBS, Adesh Medical College and Hospital, Shahbad, Haryana, India)
Shray Srivastava (MBBS, Adesh Medical College and Hospital, Shahbad, Haryana, India)
Mentor:
Dr. Nitin Tangri (Professor- Department of Respiratory Medicine, Adesh Medical College & Hospital, Ambala, Haryana, India)
INTRODUCTION
Pulmonary Embolism is a condition that arises due to the deposition of clots in pulmonary vessels. It may be due to a secondary disease, mainly Deep Vein Thrombosis of the peripheral veins of the legs.
CASE SUMMARY
A 48-year-old female patient came to Emergency OPD (Out Patient Department) with complaints of generalized body pain, drowsiness, and asthma. She had a history of Hypothyroidism (not on Rx) and asthma. She has also using an inhaler for the past 5 years. History given by self along with relatives with good reliability. On examination, normal Blood tests were normal. LFT (Liver function tests) and RFT (Renal Function Test) were normal. The patient was Protein S deficient. PCO2 was raised and PO2 was low. ABG (Arterial Blood Gas) suggests TYPE II RESPIRATORY FAILURE which was corrected by Non-invasive BiPAP (Bilevel positive airway pressure) support. Medications like methylprednisolone and telmisartan were used but no response was observed clinically. After 2D ECHOCARDIOGRAPHY, Cor Pulmonale was seen and diagnosis of PULMONARY THROMBOEMBOLISM was confirmed by CT PULMONARY ANGIOGRAPHY.
MANAGEMENT
The patient was diagnosed with PULMONARY EMBOLISM and treatment was followed accordingly. The patient was given Anti-Coagulants like Dabigatran-10mg BD and advised to follow up after 5 days.
CONCLUSION
Every dyspnoeic patient is not Asthmatic, it may be a life-threatening condition.
REFERENCES
Case reports from Adesh Medical College and Hospital