What’s Your Diagnosis?  Pediatric Venous Thromboembolism

Welcome to this month’s What’s Your Diagnosis Challenge!

But before we begin, check to see if you got the previous case on Brief Resolved Unexplained Events: Practical Evaluation and Management in the Emergency Department right.

Case Presentation: Identification and Management of Pediatric Venous Thromboembolism in the Emergency Department

A 13-year-old girl is brought into the ED after she developed dyspnea and pleuritic chest pain while watching a basketball game..

  • The girl is tachypneic and mildly tachycardic, with an oxygen saturation of 98% on room air. As you begin the workup, her mother mentions that her daughter underwent pinning of a leg fracture recently and has been immobile for the past 6 days. She says the girl started taking oral contraceptives 3 months ago. 
  • How should you begin your workup? Does this patient require emergent imaging to rule out a pulmonary embolism? 

Make your best guess, and check back next month for the case conclusion!

Click to review Pediatric Emergency Medicine Practice, Safe Use of Opioids

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