Case Study: Evolution of a Patient with Pulmonary Embolism

Abstract

Abstract Pulmonary embolism (PE) poses a significant health threat, with 350,000 annual cases in the United States, resulting in 100,000 deaths. PE arises from the obstruction of pulmonary arteries, typically by blood clots originating from deep veins. Risk factors mirror those of deep vein thrombosis, encompassing genetic and acquired factors. Timely diagnosis is imperative due to substantial mortality and morbidity rates, with various diagnostic modalities employed. Treatment options include anticoagulants, thrombolytics, surgical embolectomy, and inferior vena cava fi lters. We present a case from our orthopedics department, underscoring the importance of prompt diagnosis and intervention in managing PE. The case involved a 37-year-old male motorcyclist admitted post-trauma, who later developed acute dyspnea, leading to the diagnosis of high-risk PE. Thrombolysis with Actilyse was initiated, highlighting the critical role of rapid risk stratification and treatment initiation in mitigating PE-related morbidity and mortality.