Evidence map›Paper›PMID 39109122›Full record

ArticleCureus2024

Pulmonary Embolism Presenting As Shoulder and Back Pain: A Case Report.

Chukwuemeka Nwaneri, Rebecca Race, Romoluwa Oladele, Subramanian Kumaran

Abstract readCase Reports
In one paragraph

Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Chukwuemeka NwaneriEmergency Medicine Department, Shrewsbury and Telford NHS Trust, The Royal Shrewsbury Hospital, Shrewsbury, GBR.
Rebecca RaceEmergency Medicine Department, Shrewsbury and Telford NHS Trust, The Royal Shrewsbury Hospital, Shrewsbury, GBR.
Romoluwa OladeleEmergency Medicine Department, The Shrewsbury and Telford Hospital NHS Trust, The Royal Shrewsbury Hospital, Shrewsbury, GBR.
Subramanian KumaranEmergency Medicine Department, The Shrewsbury and Telford Hospital NHS Trust, The Royal Shrewsbury Hospital, Shrewsbury, GBR.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pulmonary embolism (PE) is a common but life-threatening condition, and diagnosis can be challenging. Diagnosis is even more difficult in those patients with atypical presentations such as the absence of pleuritic chest pain, dyspnoea, tachycardia, or symptoms of deep vein thrombosis. We have delineated shoulder and back pain as an atypical sign of PE. However, the significant amount of misdiagnosis highlights the importance of other rare symptoms of this potentially fatal disease. Therefore, eliciting these rare presenting symptoms can significantly reduce morbidity and mortality. Here, we report the case of a patient who, 13 days after a laparoscopic Nissen fundoplication, presented to the emergency department (ED) with left shoulder and left-sided pleuritic back pain. She was managed in the resuscitation area in the ED and was subsequently diagnosed with a left-sided PE. Her care was taken over by the medical team, and she continued her recovery in the acute medical unit.

Indexed as

acute pulmonary embolismatypical chest painprophylactic and therapeutic anticoagulationshortness of breath (sob)shoulder tip pain

Identifiers

PMID39109122
PMCPMC11302394

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.