RT Journal Article
SR Electronic
T1 An unusual case of persisting hypoxia in a patient with a thrombolysed pulmonary embolism
JF Clinical Medicine
JO Clin Med
FD Royal College of Physicians
SP 593
OP 596
DO 10.7861/clinmed.2020-0753
VO 20
IS 6
A1 Sanjoy Ray
A1 Shakeel A Qureshi
A1 Natalie Stolagiewicz
A1 Lydia Sturridge
A1 Sitara Khan
YR 2020
UL http://www.rcpjournals.org/content/20/6/593.abstract
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.