id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-336005-nm34bfsl	Mahan, Keenan	Abdominal pain in a patient with COVID-19 infection: A case of multiple thromboemboli	2020-05-26		.txt	text/plain	886	68	46	Although there appears to be an increased incidence of thromboembolic disease in patients with COVID-19 infection, recommendations regarding anticoagulation are lacking. We present the case of a 61-year-old woman with clinically significant venous and arterial thromboemboli in the setting of COVID-19 infection requiring tissue plasminogen activator (tPA). In addition, there is no clear guidance as to whether anticoagulation should be initiated for emergency department (ED) patients with presumed COVID-19 and elevated D-dimer. The patient's CXR demonstrated bilateral peripheral opacities consistent with COVID-19 infection ( Figure 1 ) and her D-dimer returned elevated at 8,264ng/mL. Based on the patient's hypoxemia, persistent tachycardia, and marked D-dimer elevation, we ordered a CT pulmonary angiogram which revealed multiple filling defects in the thoracic and abdominal aorta representing thromboemboli as well as diffuse bilateral ground glass opacities in the lungs (Figure 2) . Clinical Characteristics of 138 Hospitalized Patients with 2019 Novel Coronavirus-Infected Pneumonia in Wuhan, China	./cache/cord-336005-nm34bfsl.txt	./txt/cord-336005-nm34bfsl.txt