Abstract

The chest X-ray was normal. The 12 lead ECg showed sinus tachycardia with evidence of right ventricular (RV) strain and T wave inversion in V1-3. arterial blood gases (aBg) demonstrated hypoxia with so2 88.7%. The Ddimer was significantly raised; mild Troponin I rise as well as the inflammatory markers were found raised. The patient underwent CT pulmonary angiogram (CTpa) which showed large bilateral proximal pulmonary emboli and evidence of early right heart strain. Doppler ultrasound of left leg veins revealed partially occluded left distal superficial femoral vein (sFV) by a thrombus.

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