35 year old male with history of 4 weeks of immobilization for fracture femur developed sudden onset of chest pain and hemoptysis. ECG shows s1 Q3 T3 pattern. Diagnosis?
Correct Answer: Pulmonary embolism
Description: Ref. Grainger and Allison's Diagnostic Radiology. Page. 50
Pulmonary embolism (PE) usually arises from a venous thrombosis in the pelvis or legs
Risk factors include any cause of immobility or hyper coagulability .
Clinical features include :pleuritic chest pain ,sudden onset of breathlessness (most common),hemoptysis ,dizziness ,syncope .
ECG findings include sinus tachycardia (most common ) , S1Q3T3 (Most characteristic)
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