Hurni, Eva; Bürgi, Ulrich; Oestmann, A (2008). Scepticism is warranted or when the CT scan reveals to be a pitfall. Praxis - schweizerische Rundschau für Medizin, 97(18), pp. 995-998. Bern: Huber 10.1024/1661-8157.97.18.995
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We report the case of a 72-year old woman with known metastatic breast cancer who presented to the emergency department with progressive dyspnea on exertion and chest pain. The diagnosis of pulmonary embolism could be established by pulmonary scintigraphy after computed tomography and ultrasound of the lower extremities had been negative in spite of a moderate clinical pretest probability (Wells score). This case shows that even if we manage suspected pulmonary embolism using algorithms combining clinical probability, computed tomography and ultrasound we must remain aware of eventually missing the diagnosis and carry on investigating cases with elevated clinical probability.
Item Type: |
Journal Article (Further Contribution) |
|---|---|
Division/Institute: |
04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Neurology > Centre of Competence for Psychosomatic Medicine 04 Faculty of Medicine > Department of General Internal Medicine (DAIM) > Clinic of General Internal Medicine > Centre of Competence for General Internal Medicine |
UniBE Contributor: |
Hurni, Eva, Bürgi, Ulrich, Oestmann, Andreas |
ISSN: |
1661-8157 |
ISBN: |
18807704 |
Publisher: |
Huber |
Language: |
German |
Submitter: |
Factscience Import |
Date Deposited: |
04 Oct 2013 15:06 |
Last Modified: |
05 Dec 2022 14:20 |
Publisher DOI: |
10.1024/1661-8157.97.18.995 |
PubMed ID: |
18807704 |
Uncontrolled Keywords: |
pulmonary embolism, Wells score, CT-PA, pulmonary scintigraphy, Lungenembolie, Wells-Score, CT-Pulmonalisangiographie, Lungenszintigraphie |
BORIS DOI: |
10.7892/boris.29015 |
URI: |
https://boris.unibe.ch/id/eprint/29015 (FactScience: 132958) |
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