Presentation
CASE PRESENTATION: A 36-year-old female presented with debilitating pain of the right upper extremity secondary to a recurrent soft tissue sarcoma. She had distant metastasis to the lung. [ncbi.nlm.nih.gov]
Case Presentation: An 18 year old man with a history of asthma presented to the ER complaining of sudden onset dyspnea and cough. Lung examination and a CXR were normal. [shmabstracts.com]
Entire Body System
- Swelling
On POD 6 after that procedure, she developed acute-onset shortness of breath and lower extremity swelling. [jvsvenous.org]
Symptoms of a blood clot include warmth, swelling, pain, tenderness and redness of the leg. The goal of treatment is to break up clots and help keep other clots from forming. [icdlist.com]
She denies any other symptoms, including shortness of breath, swelling of the eyes, or fever. She denies any exposure to new medications or allergens. [step2.medbullets.com]
Summary A forty-nine-year-old man, who had complained of dullness for a year, neck swelling for 3 months and low grade fever for 2 weeks, consulted three doctors, but he was only diagnosed to have anemia, died suddenly after acute respiratory failure. [webview.isho.jp]
- Severe Pain
This type of pain can be severe and does not respond to minor cardiac medications. [healthmoin.com]
Respiratoric
- Dyspnea
Pulmonary tumor embolism should be considered when patients with malignant disease develop unexplained dyspnea, hypoxemia, and pulmonary hypertension. [ncbi.nlm.nih.gov]
The most common initial clinical symptom is subacute progressive dyspnea, and the initial laboratory evaluation typically shows hypoxemia in a patient with clear lung fields on a chest roentgenogram. [mayoclinic.pure.elsevier.com]
Gastrointestinal
- Abdominal Pain
1 Breast 30 Chest pain Dyspnea None 2 28 2 93,30% Autopsy Pulmonary angiogram Aspiration cytology Radio nuclear perfusion Surgery Ventilation perfusion scan 27 4 1 3 1 3 Colon 5 Abdominal pain Cough Dyspnea Fever None 1 1 2 1 1 100% Autopsy 5 Kidney [hindawi.com]
However, she developed abdominal pain with fresh rectal bleeding approximately a week later. Repeat sigmoidoscopy showed large amounts of old and fresh blood clots within the rectum, with extensive necrosis of the rectal mucosa. [e-ce.org]
Renal PNET mostly presents with nonspecific symptoms such as abdominal pain, palpable masses or hematuria. Imaging features of renal PNET are indistinguishable from renal cell carcinoma. [wjgnet.com]
Cardiovascular
- Thrombosis
Key words: Pulmonary embolism; testicular cancer; venous thrombosis. OZET Kanserli olgularda tromboembolik olaylar icin artmis risk oldugu bilinmektedir. Testikuler kanserli bir olgumuzda bu iliskiyi vurgulamak istedik. [go.gale.com]
When tumor thrombosis has been detected or suspected, hepatic vascular exclusion should be considered for the prevention of intraoperative embolism. [ncbi.nlm.nih.gov]
[…] embolism Pulmonary venous thrombosis Recurrent pulmonary embolism Subacute massive pulmonary embolism Thromboembolic pulmonary hypertension Tumor embolus ICD-9-CM Volume 2 Index entries containing back-references to 415.19 : Embolism 444.9 pulmonary [icd9data.com]
- Chest Pain
We describe a patient who presented with chest pain and sudden shortness of breath. Autopsy disclosed diffuse pulmonary microembolism to septal capillaries caused by tumor cells from a squamous cell carcinoma of the cervix. [ncbi.nlm.nih.gov]
[…] of stress can also cause chest pain. [healthmoin.com]
Malignancy Chief complaint In-hospital mortality Diagnostic methods used Atrial myxoma 9 Chest pain Cough Dyspnea Fever Shock 1 1 7 1 1 33,30% Autopsy CT Surgery PET CT 2 6 6 1 Bladder 4 Chest pain Dyspnea None 1 2 1 100% Autopsy Pulmonary angiogram 4 [hindawi.com]
Patients typically present with dyspnea and pleuritic chest pain and signs of cor pulmonale that develop over weeks to months. [merckmanuals.com]
If you do have symptoms, they can include shortness of breath, chest pain or coughing up blood. Symptoms of a blood clot include warmth, swelling, pain, tenderness and redness of the leg. [icdlist.com]
- Retrosternal Chest Pain
A 71-year-old man was admitted owing to an episode of retrosternal chest pain. 肺通气灌注扫描: 右肺大面积肺栓塞 。 [dy.163.com]
Neurologic
- Stroke
France 2 Neurology, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania 3 Pathology Department, Hopitaux universitaires de Strasbourg, Strasbourg, France 4 Intensive Care, Hopitaux universitaires de Strasbourg, Strasbourg, France 5 Stroke [jnis.bmj.com]
An embolus lodging in the brain from either the heart or a carotid artery will most likely be the cause of a stroke due to ischemia. [en.wikipedia.org]
Cardiogenic emboli account for 15–30% of ischemic strokes [ 5 ]. Embolic strokes are characteristically abrupt in onset. [intjem.springeropen.com]
An abnormal connection between arteries and veins in the lung may lead to trouble breathing (i.e., hypoxia), bleeding or the clogging of blood vessels from the abnormal blood flow which may lead to the development of stroke or brain abscess. [medstargeorgetown.org]
J Stroke Cerebrovasc Dis. 20:79–81. 2011. [spandidos-publications.com]
- Ataxia
Neurologic examination revealed central left-sided facial weakness, weakness of the left upper and lower limbs as well as troncular ataxia. Physical exam was otherwise unremarkable. [journals.sagepub.com]
Workup
To perform diagnostic workup and therapeutic interventions, such as embolectomy and pulmonary angiogram, ECMO is essential to maintain hemodynamic stability. [e-crt.org]
The patient had a workup that included an open biopsy, which was diagnosed as high-grade chondroblastic osteosarcoma (Figure 1). The patient subsequently underwent en bloc resection of the distal femur followed by amputation above the knee. [archivesofpathology.org]
Because of the routine use of US and beta-hCG in the workup of early gestational abnormalities, complete molar pregnancy rarely presents with the traditional signs. [clinicaladvisor.com]
Treatment
Currently, diagnosis of DMPTE is challenging and treatment is limited although advances of modern medicine. [ncbi.nlm.nih.gov]
He was given IV solumedrol and nebulizer treatments but did not improve however. Further history elicited mention of persistent right leg pain since two weeks after a long road trip. [shmabstracts.com]
Interventional Radiologists offer a number of treatments for the treatment and prevention of DVT and PE. [medstargeorgetown.org]
Prognosis
Because the prognosis and treatment differ from that of thrombotic pulmonary emboli, the differentiating imaging characteristics of intravascular tumor embolism are reviewed. [ncbi.nlm.nih.gov]
Prevention, and Complications Prognosis resolves typically in 4-6 weeks or within 2 weeks postpartum no risk of fetal or maternal morbidity Please rate topic. [step2.medbullets.com]
Abstract ABSTRACT Background: Tumor markers (TMs) and D-Dimer are both hallmarks of severity and prognosis of lung cancer. Tumor markers could be related to pulmonary embolism (PE) in lung cancer. [oncotarget.com]
The prognosis is poor and the median survival from diagnosis is a few weeks. Interventions are rarely performed. [scitechnol.com]
Conclusion Hepatocellular carcinoma with extension into hepatic and inferior vena cava has usually poor prognosis especially in patient with advanced Okuda staging. [ispub.com]
Etiology
Keywords Adenocarcinoma/blood/secondary — Autopsy — Breast Neoplasms/pathology — Diagnosis, Differential — Dyspnea/diagnosis/etiology — Fatal Outcome — Female — Fibrin Fibrinogen Degradation Products/metabolism — Heart Failure/blood/etiology — Humans [archive-ouverte.unige.ch]
Although cardiac metastases are more common than primary cardiac tumors, they still occur in only 1% of cancer patients, the most common etiology being lung adenocarcinoma.1 Pulmonary tumor embolism is a possible manifestation of cardiac metastasis, although [archbronconeumol.org]
If blisters are present, one should have a higher degree of suspicion for a different etiology such as pemphigoid gestationis. [aocd.org]
Fetal factors may contribute to the etiology, as it has been reported that a preponderance of male infants, with a male: female ratio of 2:1, are born to mothers with this disease. [dermatologyadvisor.com]
Etiology The cause of pruritic urticarial papules and plaques of pregnancy is still unknown, although various etiological theories have been proposed, including abdominal distension, hormonal changes, placental factors and the role of fetal DNA in skin [ncbi.nlm.nih.gov]
Epidemiology
Introduction Pruritic urticarial papules and plaques of pregnancy (PUPPP) or polymorphic eruption of pregnancy (PEP) A self-limited pruritic inflammatory disorder of the skin occurring in the last trimester of pregnancy or immediately postpartum Epidemiology [step2.medbullets.com]
Pruritic urticarial papules and plaques of pregnancy: epidemiological, clinical, and histopathological study of 18 cases from Lebanon. Int. J. Dermatol. 2012 Sep;51(9):1047-53. [PubMed: 22909357] 11. Holmes RC, Jurecka W, Black MM. [ncbi.nlm.nih.gov]
One European author proposes that early gestational papular dermatoses (usually atopic eruption of pregnancy) be referred to as "early-onset PEP," distinguished from "late-onset PEP". [4] Epidemiology Polymorphic eruption of pregnancy (PEP) occurs in [emedicine.medscape.com]
The increasing use of catheters and prosthetic vascular devices and increasing numbers of immunocompromised patients have changed the epidemiology. It is now an uncommon complication of IV drug use, presumably because of improved hygiene. [clinicaladvisor.com]
Pathophysiology
Authoritative, comprehensive and definitive, Pulmonary Circulation builds on the success of its previous two editions by providing practising respiratory physicians with a highly-ordered, unique reference work on the structure, function and pathophysiology [books.google.com]
Pathology Microscopic tumor embolism Thought to occur from two distinct pathophysiological processes. [radiopaedia.org]
A discussion of the pathophysiology, diagnosis and management of PTTM is presented. [casereports.bmj.com]
A wide range of disorders can cause such signs with different pathophysiological processes. [hindawi.com]
Prevention
When tumor thrombosis has been detected or suspected, hepatic vascular exclusion should be considered for the prevention of intraoperative embolism. [ncbi.nlm.nih.gov]
Through the diploma thesis we can see that pulmonary embolism is a complex disease and that both patient and medical team must put in much effort to prevent all the causes that lead to pulmonary embolism. [dk.um.si]
Can I prevent PUPPP? Unfortunately, there are none. If you're going to get PUPPP, you're going to get it. Try to remember, though, that it's temporary and will disappear soon after your beautiful baby is born. [whattoexpect.com]
To prevent compartment syndrome by revascularization, additional mini-fasciotomy on the right lower extremity was performed. [kjccm.org]