A 17-Year-Old With Chest Pain.
Citation: Pediatrics. 139(3), 2017 MarPMID: 28159870Institution: MedStar Washington Hospital CenterDepartment: Medicine/DermatologyForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Antiphospholipid Syndrome/di [Diagnosis] | Adolescent | Adrenal Gland Diseases/et [Etiology] | Chest Pain/et [Etiology] | Hemorrhage/et [Etiology] | Humans | Lupus Coagulation Inhibitor/bl [Blood] | Male | Partial Thromboplastin Time | Pulmonary Embolism/dg [Diagnostic Imaging] | Thrombocytopenia/et [Etiology] | Troponin/bl [Blood] | Venous Thrombosis/et [Etiology]Year: 2017Local holdings: Available online from the MWHC library: 1948 - present, Available in print through MWHC library: 1999 - 2006ISSN:- 0031-4005
Item type | Current library | Collection | Call number | Status | Date due | Barcode |
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Journal Article | MedStar Authors Catalog | Article | 28159870 | Available | 28159870 |
Available online from the MWHC library: 1948 - present, Available in print through MWHC library: 1999 - 2006
A 17-year-old male subject with a history of deep venous thrombosis presented with acute unilateral severe chest pain. His examination was nonspecific, and vital signs were normal. His initial laboratory evaluation revealed mild thrombocytopenia, elevated troponin levels, and critically elevated activated partial thromboplastin time. A computed tomography angiogram of the chest revealed a pulmonary embolus, and anticoagulation therapy was initiated. His course was complicated by the development of multiple thrombi and respiratory failure. Extensive evaluation revealed a rare, underlying diagnosis in time for life-saving treatment to be initiated.
Copyright (c) 2017 by the American Academy of Pediatrics.
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