A 17-Year-Old With Chest Pain.

MedStar author(s):
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
Name of journal: PediatricsAbstract: 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.All authors: Frank LH, Guerrera MF, Jamison M, Jung L, Kirkorian AY, Otero HJ, Shah AYFiscal year: FY2017Digital Object Identifier: Date added to catalog: 2017-05-06
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Item type Current library Collection Call number Status Date due Barcode
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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