Kirieieva, Tetiana and Basina, Bogdana and Bielosludtseva, Kseniia (2018) Pulmonary embolism in the therapeutic practice, riskassessment on the example of clinical case. The Pharma Innovation Journal, 7(10). pp. 599-602. ISSN 2349-8242 (print), 2277- 7695 (online)
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Abstract
Pulmonary embolism (PE) is a “great imitator” and the symptoms of the disease are nonspecific, besidesthere is a lack of alertness of doctors and patients in terms of the development of this terriblecomplication. The aim of our work is to assess the risk of PE developing in patients of the therapeuticprofile, to identify patients at high risk for determining direct sources of thrombosis and to analyze themost significant factors that can lead to errors in the diagnosis of PE on the example of a clinical casewith an unfavorable outcome.Totally 78 patients were examined. A study of hospitalized patients with a therapeutic profile using theGeneva and Wells scales revealed a high risk of PE in 6,4% of cases. In the high-risk group with the helpof additional survey methods, there was a direct threat of PE development and in two cases PE of smallbranches was confirmed.Analyzing one clinical case it is worth to remark such reasons for the late diagnosis of PE and anunfavorable outcome as acute leg injury and the presence of DVT, low compliance with the patient, lackof alertness in PE development during hospitalization, unpredictable case anamnesis, reassessment ofadditional studies (CT) conclusion, late appointment of methods for diagnosing of the localization andmassiveness of PE.
| Item Type: | Article |
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| Uncontrolled Keywords: | Pulmonary embolism, differential diagnosis, the Geneva and wells scales. |
| Subjects: | Internal diseases |
| Divisions: | Departments > Department of Internal Medicine 1 (formerly - Faculty Therapy and Endocrinology) |
| Depositing User: | Оксана Мажуга |
| Date Deposited: | 04 Nov 2019 08:47 |
| Last Modified: | 04 Nov 2019 08:47 |
| URI: | http://repo.dma.dp.ua/id/eprint/4455 |
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