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has been cited by the following article:

• TITLE: First Masquerading as Gallstones, Pulmonary Hypertension Mimics PE

  AUTHORS: John Quinn, Sajana Ukwatta, Chris Luke, Tomas Zeleny, Vladimir Bencko

  KEYWORDS: Venouse Thromboembolism (DVT), Cholylithisis, Pulmonary Hypertension, Emergency Medicine Assessment

  JOURNAL NAME: Case Reports in Clinical Medicine, Vol.4 No.12, December 28, 2015

  ABSTRACT: Patients presenting to emergency and urgent care centers with calf pain after long and short-haul flights are a common presentation throughout Europe. Patients fitting an epidemiological risk profile for cholelithiasis and presenting with right upper quadrant abdominal pain can also be a common presentation fitting of a specific patient profile. However, pulmonary hypertension can present in a nuanced and possible missed chronic and acute presentation. The patient case we present profiles a mildly obese 54-year-old Caucasian woman and recent holiday maker with unilateral calf pain and shortness of breath after traveling on a long-haul flight with tertiary symptoms of indigestion and epigastric discomfort indicative of gastroenteritis. This case highlights the required diligence for emergency physicians to maintain a high index of suspicion and broad differential diagnosis in the undifferentiated patient with seemingly common or classic presentations. We find that a serendipitous definitive diagnosis is made by following a systematic and organized approach.