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Related Concept Videos

Pulmonary Embolism I: Introduction01:29

Pulmonary Embolism I: Introduction

Pulmonary embolism (PE) occurs when a thrombus, fat or air embolus, amniotic fluid, or tumor tissue blocks one or more pulmonary arteries. These blockages originate in the venous system or the right side of the heart.EtiologyPE primarily arises from deep vein thrombosis (DVT) and other hypercoagulable states, such as inherited thrombophilias. Additional etiological factors include venous stasis, commonly seen in obesity, and endothelial injury from surgery and trauma. Less common causes include...
Pulmonary Embolism I: Introduction01:19

Pulmonary Embolism I: Introduction

A blood clot, or thrombus, is a semi-solid mass composed of fibrin, platelets, and red blood cells. When it forms within a vessel, it can obstruct blood flow, known as thrombosis. If part of the clot detaches, it becomes an embolus that can travel and block distant vessels. When this occurs in the pulmonary arteries, it causes a condition known as pulmonary embolism (PE).Origin and ImpactMost often, the embolus originates from a thrombus in the deep veins of the lower limbs, a condition called...
Myocarditis II: Clinical Features and Diagnostic Tests01:27

Myocarditis II: Clinical Features and Diagnostic Tests

Myocarditis is an inflammation of the heart muscle. The symptoms vary widely, encompassing asymptomatic presentations to severe, acute manifestations.Clinical PresentationAsymptomatic cases: In some instances, myocarditis may be asymptomatic, with the infection resolving without intervention. These cases often go undetected unless discovered incidentally through diagnostic imaging or tests conducted for other reasons.General Early Symptoms: Early symptoms of myocarditis are non-specific and can...
Myocarditis I: Introduction01:21

Myocarditis I: Introduction

Myocarditis is inflammation of the myocardium, which is the muscular layer of the heart.EtiologyMyocarditis has a diverse etiology, including a wide range of infectious and non-infectious causes:Infectious CausesViral: Common viruses include Coxsackie A and B, adenovirus, parvovirus B19, enteroviruses, and influenza A.Bacterial: Examples include infections caused by Streptococcus, Staphylococcus, and Mycoplasma species.Rickettsial: Infections like Rocky Mountain spotted fever can result in...
Atypical Pneumonia01:14

Atypical Pneumonia

Atypical pneumonia, often caused by Mycoplasma pneumoniae, is a form of pulmonary infection that differs from the classical presentation of bacterial pneumonia in both its cause and clinical symptoms. Mycoplasma pneumoniae is a pleomorphic bacterium notable for its lack of a rigid cell wall. This structural characteristic imparts resistance to beta-lactam antibiotics and significantly influences the bacterium’s behavior within the human host.Other pathogens responsible for the disease include...
Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care01:29

Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care

Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...

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Related Experiment Videos

Dermatomyositis masquerading as pulmonary embolism.

R M Mroz1, M Korniluk, E Chyczewska

  • 1Department of Lung Diseases and Tuberculosis,Medical University of Bialystok, Bialystok, Poland. Robmroz@wp.pl

European Journal of Medical Research
|February 17, 2010
PubMed
Summary
This summary is machine-generated.

A 61-year-old experienced progressive muscle weakness and weight loss, diagnosed as myositis. Treatment with corticosteroids led to remarkable improvement, suggesting an inflammatory myopathy.

Related Experiment Videos

Area of Science:

  • Internal Medicine
  • Neurology
  • Rheumatology

Background:

  • A 61-year-old presented with progressive muscle weakness and weight loss.
  • The patient had a history of pulmonary embolism treated with Enoxaparin.
  • Symptoms of fever, myalgia, and dyspnea developed over time.

Observation:

  • Physical examination revealed a rash on the torso, back, and extremities.
  • Laboratory tests showed elevated muscle enzymes (CPK, MB fraction, LDH).
  • Imaging (Chest X-ray, CT) indicated bilateral lung consolidations and ground-glass opacities.

Findings:

  • Electromyography (EMG) confirmed myositis.
  • The patient was treated with intravenous Solu-Medrol, followed by oral prednisone.
  • Significant improvement in symptoms and muscle strength was observed.

Implications:

  • This case highlights a potential link between Enoxaparin and inflammatory myopathy.
  • Early diagnosis and corticosteroid treatment are crucial for managing this condition.
  • Further research is warranted to explore the association between anticoagulants and myositis.