Pulmonary embolism diagnostic approach: Difference between revisions
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{{familytree | | | | | | | | GMa | GMa='''Assess the pretest probability of PE'''<br> '''by using one of the risk score:''' <br> - [[Wells score]] <br> - [[Geneva score]] <br> - [[PERC]] }} | {{familytree | | | | | | | | GMa | GMa='''Assess the pretest probability of PE'''<br> '''by using one of the risk score:''' <br> - [[Wells score]] <br> - [[Geneva score]] <br> - [[PERC]] }} | ||
{{familytree | | | | |,|-|-|-|^|-|-|-|-|.| | | }} | {{familytree | | | | |,|-|-|-|^|-|-|-|-|.| | | }} | ||
{{familytree | | |JOE| | | | | | | |SIS| | | JOE='''Low pretest probability of PE''' <br> (Wells score ≤ 4) |SIS='''High pretest probability of PE''' <br> (Wells score > 4 | {{familytree | | |JOE| | | | | | | |SIS| | | JOE='''Low pretest probability of PE''' <br> (Wells score ≤ 4) |SIS='''High pretest probability of PE''' <br> (Wells score) > 4 <br> OR <br> Presence of shock <br> OR <br> Presence of [[hypotension]] }} | ||
{{familytree | | | |!| | | | | | | | | |!| }} | {{familytree | | | |!| | | | | | | | | |!| }} | ||
{{familytree | | |MOM| | | | | | | | |!| |MOM='''Order [[D-dimer]]'''}} | {{familytree | | |MOM| | | | | | | | |!| |MOM='''Order [[D-dimer]]'''}} | ||
Revision as of 14:37, 9 May 2014
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Pulmonary Embolism Microchapters |
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Diagnosis |
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Pulmonary Embolism Assessment of Probability of Subsequent VTE and Risk Scores |
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Treatment |
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Follow-Up |
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Special Scenario |
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Trials |
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Case Studies |
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Pulmonary embolism diagnostic approach On the Web |
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Directions to Hospitals Treating Pulmonary embolism diagnostic approach |
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Risk calculators and risk factors for Pulmonary embolism diagnostic approach |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
The diagnostic approach to pulmonary embolism requires the initial assessment of the pretest probability of the disease.
Diagnosis Algorithm
| Assess the pretest probability of PE by using one of the risk score: - Wells score - Geneva score - PERC | |||||||||||||||||||||||||||||||||
| Low pretest probability of PE (Wells score ≤ 4) | High pretest probability of PE (Wells score) > 4 OR Presence of shock OR Presence of hypotension | ||||||||||||||||||||||||||||||||
| Order D-dimer | |||||||||||||||||||||||||||||||||
| Normal D-dimer (<500 ng/ml) | Elevated D-dimer (>500 ng/ml) | Order CT pulmonary angiography | |||||||||||||||||||||||||||||||
| PE is excluded | Negative | Positive | |||||||||||||||||||||||||||||||
| PE is excluded | PE is confirmed | ||||||||||||||||||||||||||||||||
| Click here for treatment | |||||||||||||||||||||||||||||||||