When A Sore Throat Becomes Life-threatening

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When A Sore Throat Becomes Life-threatening - Page #3

Other Studies: Chest X-Ray: Increased interstitial markings and no definite focal airspace disease. ECG: Sinus tachycardia with rate of 145 BPM. There was concern for a DVT, so a venous doppler of the lower extremity was ordered. Venous doppler of the lower extremity bilateral: Negative for DVT. Given her significant neck swelling, ED providers ordered venous doppler ultrasound of the upper extremities. Venous Doppler of the Upper Extremity bilateral: Occlusive thrombus within the left internal jugular vein measuring approximately 3.1 cm length. Case Photo #10 , Case Photo #2 and Case Photo #3 CT Angiogram Pulmonary: Diffuse multifocal consolidations concerning for multifocal pneumonia with mild interstitial pulmonary edema. Case Photo #4 and Case Photo #5 Two days later, she underwent a CT Angiogram of the neck: With mild to moderate left submandibular adenopathy. Occlusive thrombus within left internal jugular vein from C3 level down to the thoracic inlet, involving a 9 cm long segment, compared to the reported 3.1 cm long segment on the duplex sonography. Case Photo #6 and Case Photo #7 Antibiotics had been started empirically prior to collection. Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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