Medicina

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Tromboembolia Pulmonar
(Universidad Técnica de Ambato-Facultad de Ciencias de la Salud-Carrera Medicina, 2016-10-01) Bayas Azogue, Carolina Estefanía; Córdova Peñaloza, Opilio Dr. ESP.
Pulmonary embolism (PE) is a condition that could become a cardiovascular emergency, clinical presentation has a broad spectrum, from being asymptomatic to cardiogenic shock or sudden death due to acute right ventricular failure continues. Its diagnosis is based on a set of clinical symptoms and signs within a framework of a series of complementary studies. As pulmonary arterial angiography the gold standar and pulmonary CT angiography a much easier test that surpasses 90% sensitivity and specificity (failure when Microthromb into thin arteries and distal). We report the case of a patient of 68 years, subject to change knee four months ago. Debuts sudden onset epigastric pain accompanied by vomiting brown, diaphoresis, dyspnea on moderate efforts. Physical examination crackles in the lung bases. CXR effacement costodiaphragmatic right angle evidence. EKG narrow QRS complex, turn right, Q with pathological progression with a D Dimer 1780. It was studied and ruled out heart and TEP injury.