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Volume 332:1792 June 29, 1995 Number 26
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Clinical Problem-Solving: Multiple Pulmonary Emboli

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 by Thibault, G. E.
To the Editor: I found the case presented by Dr. Thibault (Feb. 2 issue)1 reassuring in that even the expert clinician encountered the usual degree of difficulty traversing the slippery slope toward the diagnosis of chronic recurrent pulmonary embolism. In this case there were two pieces of misleading diagnostic information that increased the complexity of the case and resulted in the circuitous route taken toward the correct diagnosis.

Among the reported findings on the initial physical examination were 1+ pedal edema and a normal jugular venous pressure. It is difficult to believe that with a pulmonary-artery pressure of 90/50 mm . . . [Full Text of this Article]

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