Scepticism is warranted or when the CT scan reveals to be a pitfall

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

[img] Text
fulltext.pdf - Published Version
Restricted to registered users only
Available under License Publisher holds Copyright.

Download (85kB) | Request a copy

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 and Oestmann, Andreas

ISSN:

1661-8157

ISBN:

18807704

Publisher:

Huber

Language:

German

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 15:06

Last Modified:

07 Dec 2014 08:50

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)

Actions (login required)

Edit item Edit item
Provide Feedback