21 & Massive PEs | Figure 1
CPhTtoRN
Case: 21 yo F, normal BMI, no history of smoking or alcohol consumption, active college student in marching band, on OCP for the first time: ethynl-estradiol norgestimate just started for 2-3 months.
C/O chest pain x 4 days. Chest CT showed "large bilateral pulmonary emboli involving all lobes." No family hx of thrombophilia, just multiple deaths from brain aneurysm. No other hx or medications except depression and taking venlefaxine. Thoughts given hx and age on whether these clots were r/t OCP or should the pt be worked up for some type of clotting disorder?
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