Two pulmonary emboli in a psych pod
Abstract Background A female patient known to have schizoaffective disorder self‐presented to an emergency department in a state of acute agitation and paranoia shortly after a 35‐day inpatient stay at a psychiatric facility. Case report The patient exhibited no signs or complaints of dyspnea or hyp...
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| Format: | Article |
| Language: | English |
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Elsevier
2020-08-01
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| Series: | Journal of the American College of Emergency Physicians Open |
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| Online Access: | https://doi.org/10.1002/emp2.12032 |
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| author | Samantha A. King Seth M. Kelly Adam C. Richardson Kyle R. Fischer Angela D. Smedley |
| author_facet | Samantha A. King Seth M. Kelly Adam C. Richardson Kyle R. Fischer Angela D. Smedley |
| author_sort | Samantha A. King |
| collection | DOAJ |
| description | Abstract Background A female patient known to have schizoaffective disorder self‐presented to an emergency department in a state of acute agitation and paranoia shortly after a 35‐day inpatient stay at a psychiatric facility. Case report The patient exhibited no signs or complaints of dyspnea or hypoxia, but later collapsed and became hypoxic after sleeping comfortably with sedation for 12 h in the psychiatric unit. She was intubated and a computed tomography angiogram revealed bilateral lobar pulmonary emboli and right heart strain. Conclusion Psychiatric hospitalizations, medications, diagnoses and relevant sequelae increase venous thromboembolism risk more than many realize. |
| format | Article |
| id | doaj-art-876b23d147cc48818568f8d24287e567 |
| institution | OA Journals |
| issn | 2688-1152 |
| language | English |
| publishDate | 2020-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of the American College of Emergency Physicians Open |
| spelling | doaj-art-876b23d147cc48818568f8d24287e5672025-08-20T02:00:35ZengElsevierJournal of the American College of Emergency Physicians Open2688-11522020-08-011441641810.1002/emp2.12032Two pulmonary emboli in a psych podSamantha A. King0Seth M. Kelly1Adam C. Richardson2Kyle R. Fischer3Angela D. Smedley4Department of Emergency Medicine University of Maryland Medical Center Baltimore MarylandDepartment of Emergency Medicine University of Maryland Medical Center Baltimore MarylandDepartment of Emergency Medicine University of Maryland Medical Center Baltimore MarylandDepartment of Emergency Medicine University of Maryland School of Medicine Baltimore MarylandDepartment of Emergency Medicine University of Maryland School of Medicine Baltimore MarylandAbstract Background A female patient known to have schizoaffective disorder self‐presented to an emergency department in a state of acute agitation and paranoia shortly after a 35‐day inpatient stay at a psychiatric facility. Case report The patient exhibited no signs or complaints of dyspnea or hypoxia, but later collapsed and became hypoxic after sleeping comfortably with sedation for 12 h in the psychiatric unit. She was intubated and a computed tomography angiogram revealed bilateral lobar pulmonary emboli and right heart strain. Conclusion Psychiatric hospitalizations, medications, diagnoses and relevant sequelae increase venous thromboembolism risk more than many realize.https://doi.org/10.1002/emp2.12032acute psychosispulmonary embolismpulmonary embolismvenous thromboembolism riskvenous thromboembolism |
| spellingShingle | Samantha A. King Seth M. Kelly Adam C. Richardson Kyle R. Fischer Angela D. Smedley Two pulmonary emboli in a psych pod Journal of the American College of Emergency Physicians Open acute psychosis pulmonary embolism pulmonary embolism venous thromboembolism risk venous thromboembolism |
| title | Two pulmonary emboli in a psych pod |
| title_full | Two pulmonary emboli in a psych pod |
| title_fullStr | Two pulmonary emboli in a psych pod |
| title_full_unstemmed | Two pulmonary emboli in a psych pod |
| title_short | Two pulmonary emboli in a psych pod |
| title_sort | two pulmonary emboli in a psych pod |
| topic | acute psychosis pulmonary embolism pulmonary embolism venous thromboembolism risk venous thromboembolism |
| url | https://doi.org/10.1002/emp2.12032 |
| work_keys_str_mv | AT samanthaaking twopulmonaryemboliinapsychpod AT sethmkelly twopulmonaryemboliinapsychpod AT adamcrichardson twopulmonaryemboliinapsychpod AT kylerfischer twopulmonaryemboliinapsychpod AT angeladsmedley twopulmonaryemboliinapsychpod |