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- Jonathan Moore, Zein Kattih, Erica Altschul, Stephen Machnicki, Morris Edelman, and Zachary Kon.
- Department of Pulmonary and Critical Care Medicine, Lenox Hill Hospital, New York, NY. Electronic address: jmoore18@northwell.edu.
- Chest. 2023 Feb 1; 163 (2): e83e89e83-e89.
AbstractA 53-year-old woman with a history of pulmonary embolism treated with rivaroxaban came to the ED after 4 days of acutely worsening dyspnea and chest pressure. On arrival, her temperature was 36.7 °C; heart rate, 71 beats/min; BP, 98/59 mm Hg; respiratory rate, 22 breaths/min; and Spo2 95% on room air. Her WBC count was elevated at 15,770/μL; hemoglobin, 13.3 g/dL; platelets, 280,000/μL; INR (international normalized ratio), elevated at 1.66; and partial thromboplastin time, elevated at 18.8 s. Serum chemistry results were unremarkable, and pro-brain natriuretic peptide was slightly elevated at 530 pg/mL (normal, < 300 pg/mL).Copyright © 2022 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.
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