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Pseudo Murphy’s Sign Camouflaging a More Sinister Diagnosis

DOI : https://doi.org/10.36349/easjacc.2023.v05i05.002
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Aim and background: Pulmonary embolism (PE) is a life-threatening medical emergency where a blood clot travels from somewhere else in body, usually from deep vein thrombosis of legs to pulmonary artery and blocks it, leading to high mortality and morbidity. If not treated on time, it can lead to death. Case Description: In the following two cases, we describe patients with presentation of pain abdomen which was finally diagnosed as acute pulmonary embolism. Conclusion: Pulmonary embolism has a varied clinical symptomatology and can cause frequent diagnostic dilemma and challenge, which can delay timely diagnosis. Clinical Significance: It is essential for the critical care physician to be aware of varied symptoms and to have a high index of suspicion.

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Dr. Afroza Begum

Lecturer, Dept. of Pharmacology and Therapeutics, Shaheed Monsur Ali Medical College & Hospital, Uttara, Dhaka-1230, Bangladesh

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