BCE 77 Pulmonary Embolism Workup in Pregnancy

A challenging case of diagnosing a pulmonary embolism (PE) in a pregnant patient is examined. The case features a 40-year-old pregnant woman with right-sided back pain, initially suspected to be musculoskeletal. Dr. Alicia Targonski, an ED physician, recounts her thought process, emphasizing the importance of re-evaluating handovers, especially in high-risk patients. Despite normal initial tests, a concerning walk test result and elevated D-dimer prompted further investigation. The discussion highlights the atypical presentation of PE, the limitations of chest X-rays, and the need to overcome biases in treating pregnant patients. Ultimately, a CT scan revealed bilateral PE, underscoring the value of thorough assessment and shared decision-making.