Sudden Dyspnea

A 66 year old lady who underwent an uncomplicated hemicolectomy for colo-rectal carcinoma last week is brought in complaining of sudden onset dyspnea of 2 hours duration.

There is no associated fever, cough, chest pain, nausea, vomiting, faintishness or calf pain. She has no comorbidities and this is her first such episode.

She does not smoke and is only on acetaminophen (paracetamol), for analgesia.

Select Relevant Investigations
ECG

Performed

Serial ECGs are only positive for sinus tachycardia.
Troponin-T

Performed

The Troponin T assay comes as negative.
D-Dimers

Performed

D-Dimers are elevated.
CT Pulmonary Angiography

Performed

CT pulmonary angiography shows a filling defect involving the arterial tree of the left lower lobe.

Select Relevant Management
Thrombolysis
Surgical Embolectomy
Anticoagulants
Antibiotics