Abstract:
:The purpose of this case presentation is to discuss right upper quadrant pain as an atypical presenting symptom in pulmonary infarction and review the typical computed tomography (CT) imaging features of pulmonary infarction to improve diagnostic accuracy. Pulmonary infarction results from occlusion of distal arterial vasculature within the lung parenchyma leading to ischemia, hemorrhage, and ultimately necrosis. Patients with lung infarction typically present with pleuritic chest pain and may have associated signs or symptoms of pulmonary thromboembolism or deep vein thrombosis. In this case study, a 34-yr-old female devoid of any symptoms indicative of either pulmonary embolism or deep vein thrombosis presented with right upper quadrant pain 1 mo status post open reduction internal fixation for a left ankle fracture. Multiple clinic visits spanning approximately 7 d were significant for a right lower lobe opacity seen on CT of the abdomen which was presumed to represent community acquired pneumonia as a source for the patient's RUQ pain. The patient presented to the emergency department 1 wk later (6 wk following her initial surgery) complaining of left lower extremity swelling and was subsequently diagnosed with a left lower extremity DVT via ultrasound. CT of the pulmonary arteries was negative for PE but identified a right lower lobe opacity which in retrospect was consistent with pulmonary infarction.
journal_name
Mil Medjournal_title
Military medicineauthors
Fosmire ST,Gibson GN,Copeland JC,Maydew MS,Eggers Cdoi
10.1093/milmed/usy128subject
Has Abstractpub_date
2018-11-01 00:00:00pages
e779-e782issue
11-12eissn
0026-4075issn
1930-613Xpii
5034845journal_volume
183pub_type
杂志文章abstract::Several sub-Saharan militaries have large percentages of troops with human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome. With the arrival of avian influenza in Africa, the potential exists that some of those soldiers might also become infected with H5N1, the virus responsible for the disease. Two po...
journal_title:Military medicine
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abstract:INTRODUCTION:The goal of the present study was to characterize behavioral health rates, behavioral health care utilization, loneliness, and perceived prejudice and support among sexual minority soldiers. MATERIALS AND METHODS:Cross-sectional survey data were obtained from 640 active-duty U.S. soldiers enrolled in an a...
journal_title:Military medicine
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journal_title:Military medicine
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journal_title:Military medicine
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journal_title:Military medicine
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journal_title:Military medicine
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journal_title:Military medicine
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doi:
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journal_title:Military medicine
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doi:
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journal_title:Military medicine
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doi:10.7205/MILMED-D-12-00322
更新日期:2013-04-01 00:00:00
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doi:10.7205/milmed.173.10.1004
更新日期:2008-10-01 00:00:00
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更新日期:2005-06-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
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更新日期:2019-03-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1994-03-01 00:00:00
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pub_type: 杂志文章
doi:10.7205/milmed-d-10-00037
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journal_title:Military medicine
pub_type: 杂志文章,评审
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journal_title:Military medicine
pub_type: 杂志文章
doi:
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journal_title:Military medicine
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journal_title:Military medicine
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journal_title:Military medicine
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更新日期:2009-09-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:
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journal_title:Military medicine
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journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2002-01-01 00:00:00
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journal_title:Military medicine
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journal_title:Military medicine
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doi:
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