Cardiff University | Prifysgol Caerdydd ORCA
Online Research @ Cardiff 
WelshClear Cookie - decide language by browser settings

Presenting features of patients with pulmonary emboli [Abstract]

Fennerty, A., Shetty, H., Payton, D., Routledge, Philip Alexander and Campbell, Ian A. 1987. Presenting features of patients with pulmonary emboli [Abstract]. Thorax 42 (3) , p. 229. 10.1136/thx.42.3.207

Full text not available from this repository.

Abstract

The presenting features of 100 patients with pulmonary emboli (PE) diagnosed by ventilation perfusion scanning were reviewed. The most frequent symptoms were pleuritic chest pain, 6201., and dyspnoea, 59%, cough and haemoptysis occuring in 30% and 26'!.. Chest pains were the only symptom in 19% and dyspnoea in 9%. Ten per cent presented with features of a chest infection and only one subject was clinically shocked. Physical signs were generally unhelpful in making the diagnosis. Examination was normal in 27%, 29% had a tachycardia, 26% crackles and only 10% had a pleural rub. Localised tenderness was present in 6%. The chest radiograph was normal in 38%, the commonest abnormalities being consolidation, 27%, and effusion, 26%. The ECG was abnormal in 60';., the commonest abnormality being T wave changes, 20%; the S1Q3T3 pattern occurring in only 3%. When blood gases were measured the Pao2 was less than 80 mm Hg in 70%. Only 15% of patients were free from any associated disease or risk factors for PE. Chronic obstructive lung disease was the commonest associated disease, 21%, and 19% were post-operative. Forty-two per cent were current smokers and 27% ex-smokers of at least two years' duration. The drugs most frequently used prior to the PE were diuretics 18% and corticosteroids 12%.

Item Type: Article
Status: Published
Schools: Medicine
Pharmacy
Subjects: R Medicine > RC Internal medicine
Additional Information: Proceedings of the British Thoracic Society. 1986 winter meeting. 11-12 December 1986, London. Abstracts.
Publisher: BMJ
ISSN: 0040-6376
Last Modified: 04 Jun 2017 03:29
URI: http://orca-mwe.cf.ac.uk/id/eprint/21936

Actions (repository staff only)

Edit Item Edit Item