DVT complete diagnostic approach resident survival guide: Difference between revisions
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{{familytree | | | | | | | | | | | A01 | | | | | | | | | | | | A01= Assess the severity of pulmonary embolism}} | {{familytree | | | | | | | | | | | A01 | | | | | | | | | | | | A01= Assess the severity of pulmonary embolism}} | ||
{{familytree | | | |,|-|-|-|-|-|-|-|+|-|-|-|-|-|-|-|.| | | | | }} | {{familytree | | | |,|-|-|-|-|-|-|-|+|-|-|-|-|-|-|-|.| | | | | }} | ||
{{familytree | | | B01 | | | | | | B02 | | | | | | B03 | | | | B01= '''High''' <br> Shock <br> AND/OR <br> Hypotension| B02= '''Intermediate''' <br> Right ventricular dysfunction <br> AND/OR <br> Myocardial injury| B03= '''Low''' <br> No shock <br> No hypotension <br> No right ventricular dysfunction <br> No myocardial injury}} | {{familytree | | | B01 | | | | | | B02 | | | | | | B03 | | | | B01= '''High''' <br> Shock <br> AND/OR <br> Hypotension| B02= '''Intermediate''' <br> Right ventricular dysfunction <br> AND/OR <br> Myocardial injury| B03= '''Low''' <br> No shock <br> AND <br> No hypotension <br> AND <br> No right ventricular dysfunction <br> AND <br> No myocardial injury}} | ||
{{familytree | | | |!| | | | | | | |!| | | | | | | |!| | | | | }} | {{familytree | | | |!| | | | | | | |!| | | | | | | |!| | | | | }} | ||
{{familytree | | | C01 | | | | | | C02 | | | | | | C03 | | | | C01= Is there any contraindication for fibrinolytic therapy?| C02= Is there any contraindication for anticoagulation therapy?| C03= Is there any contraindication for anticoagulation therapy?}} | {{familytree | | | C01 | | | | | | C02 | | | | | | C03 | | | | C01= Is there any contraindication for fibrinolytic therapy?| C02= Is there any contraindication for anticoagulation therapy?| C03= Is there any contraindication for anticoagulation therapy?}} | ||
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{{familytree | | | | | | | | | | |!| |!| | | | }} | {{familytree | | | | | | | | | | |!| |!| | | | }} | ||
{{familytree | | | | | | | | | | | F01 | | | | F01= Does the patient fail to improve or develop cardiogenic shock or hypotension?}} | {{familytree | | | | | | | | | | | F01 | | | | F01= Does the patient fail to improve or develop cardiogenic shock or hypotension?}} | ||
{{familytree | | | | | | | | | | | | | {{familytree | | | | | | | | | |,|-|^|-|.| | | | }} | ||
{{familytree | | | | | | | | | | | G01 | | | | G01= Is there any contraindication for fibrinolytic therapy?}} | {{familytree | | | | | | | | | F02 | | F03 | | | F02= YES| F03= NO}} | ||
{{familytree | {{familytree | | | | | | | | | |!| | | |!| }} | ||
{{familytree | {{familytree | | | | | | | | | G01 | | G02 | | G01= Is there any contraindication for fibrinolytic therapy?| G02= Continue with the same treatment}} | ||
{{familytree | | | | | | | | | | | | | {{familytree | | | | | | | |,|-|^|-|.| | | }} | ||
{{familytree | {{familytree | | | | | | | H01 | | H02 | | H01= NO| H02= YES}} | ||
{{familytree | | | | | | | |!| | | |!| | | | }} | |||
{{familytree | | | | | | | I01 | | I02 | | I01=Fibrinolytic therapy| I02= Surgical pulmonary embolectomy <br> OR <br> Percutaneous catheter embolectomy}} | |||
{{familytree/end}} | {{familytree/end}} | ||
Revision as of 17:00, 9 May 2014
seve
| Assess the severity of pulmonary embolism | |||||||||||||||||||||||||||||||||||||||||||||||||
| High Shock AND/OR Hypotension | Intermediate Right ventricular dysfunction AND/OR Myocardial injury | Low No shock AND No hypotension AND No right ventricular dysfunction AND No myocardial injury | |||||||||||||||||||||||||||||||||||||||||||||||
| Is there any contraindication for fibrinolytic therapy? | Is there any contraindication for anticoagulation therapy? | Is there any contraindication for anticoagulation therapy? | |||||||||||||||||||||||||||||||||||||||||||||||
| NO | YES | NO | YES | NO | YES | ||||||||||||||||||||||||||||||||||||||||||||
| Fibrinolytic therapy | Surgical pulmonary embolectomy OR Percutaneous catheter embolectomy | Anticoagulation therapy AND Early discharge | IVC filter AND Early discharge/home treatment | Anticoagulation therapy AND Ward admission | IVC filter AND Ward admission | ||||||||||||||||||||||||||||||||||||||||||||
| Does the patient fail to improve or develop cardiogenic shock or hypotension? | |||||||||||||||||||||||||||||||||||||||||||||||||
| YES | NO | ||||||||||||||||||||||||||||||||||||||||||||||||
| Is there any contraindication for fibrinolytic therapy? | Continue with the same treatment | ||||||||||||||||||||||||||||||||||||||||||||||||
| NO | YES | ||||||||||||||||||||||||||||||||||||||||||||||||
| Fibrinolytic therapy | Surgical pulmonary embolectomy OR Percutaneous catheter embolectomy | ||||||||||||||||||||||||||||||||||||||||||||||||