PT  - JOURNAL ARTICLE
AU  - Sanjoy Ray
AU  - Shakeel A Qureshi
AU  - Natalie Stolagiewicz
AU  - Lydia Sturridge
AU  - Sitara Khan
TI  - An unusual case of persisting hypoxia in a patient with a thrombolysed pulmonary embolism
AID  - 10.7861/clinmed.2020-0753
DP  - 2020 Nov 01
TA  - Clinical Medicine
PG  - 593--596
VI  - 20
IP  - 6
4099  - http://www.rcpjournals.org/content/20/6/593.short
4100  - http://www.rcpjournals.org/content/20/6/593.full
SO  - Clin Med2020 Nov 01; 20
AB  - Exertional breathlessness and hypoxia are common presenting complaints in acute medicine. We describe a case where the patient continued to have persistent hypoxia even after the primary cause (pulmonary embolism) was diagnosed and treated. The hypoxia persisted as an enigma, its cause remaining elusive till diagnosed. Standard first-line investigations would not have reached the underlying diagnosis in this case and, as such, it demonstrates the keen clinical sense and complex investigative strategy required to solve the puzzle.