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. <br> <br>ECG: Sinus tachycardia with rate of 145 BPM. <br> <br>There was concern for a DVT, so a venous doppler of the lower extremity was ordered. <br> <br>Venous doppler of the lower extremity bilateral: Negative for DVT. <br> <br>Given her significant neck swelling, ED providers ordered venous doppler ultrasound of the upper extremities. <br> <br>Venous Doppler of the Upper Extremity bilateral: Occlusive thrombus within the left internal jugular vein measuring approximately 3.1 cm length. <a href="CaseStudyImages/CS10WhenaSoreThroatB-1324.jpg" title="Case Photo #10" data-lity><b>Case Photo #10</b></a> , <a href="CaseStudyImages/CS2CS1WhenaSoreThroa-1324.jpg" title="Case Photo #2" data-lity><b>Case Photo #2</b></a> and <a href="CaseStudyImages/CS3CS2CS1WhenaSoreTh-1324.jpg" title="Case Photo #3" data-lity><b>Case Photo #3</b></a> <br> <br>CT Angiogram Pulmonary: Diffuse multifocal consolidations concerning for multifocal pneumonia with mild interstitial pulmonary edema. <a href="CaseStudyImages/CS4CS3CS2CS1WhenaSor-1324.jpg" title="Case Photo #4" data-lity><b>Case Photo #4</b></a> and <a href="CaseStudyImages/CS5CS4CS3CS2CS1Whena-1324.jpg" title="Case Photo #5" data-lity><b>Case Photo #5</b></a> <br> <br>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. <a href="CaseStudyImages/CS6CS5CS4CS3CS2CS1Wh-1324.jpg" title="Case Photo #6" data-lity><b>Case Photo #6</b></a> and <a href="CaseStudyImages/CS7CS6CS5CS4CS3CS2CS-1324.jpg" title="Case Photo #7" data-lity><b>Case Photo #7</b></a> <br> <br>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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