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> AND <br> No hypotension <br> AND <br> No right ventricular dysfunction <br> AND <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?'''}} | ||
{{familytree | |,|-|^|-|.| | | |,|-|^|-|.| | | |,|-|^|-|.| | | }} | {{familytree | |,|-|^|-|.| | | |,|-|^|-|.| | | |,|-|^|-|.| | | }} | ||
{{familytree | D01 | | D02 | | D03 | | D04 | | D05 | | D06 | | D01= NO| D02= YES| D03= NO|D04= YES| D05= NO| D06= YES}} | {{familytree | D01 | | D02 | | D03 | | D04 | | D05 | | D06 | | D01= NO| D02= YES| D03= NO|D04= YES| D05= NO| D06= YES}} | ||
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{{familytree | E01 | | E02 | | E03 | | E04 | | E05 | | E06 | | E01= Fibrinolytic therapy| E02= Surgical pulmonary embolectomy <br> OR <br> Percutaneous catheter embolectomy| E03= Anticoagulation therapy <br> AND <br> Early discharge|E04= IVC filter <br> AND <br> Early discharge/home treatment| E05= Anticoagulation therapy<br> AND <br> Ward admission| E06= IVC filter <br> AND <br> Ward admission}} | {{familytree | E01 | | E02 | | E03 | | E04 | | E05 | | E06 | | E01= Fibrinolytic therapy| E02= Surgical pulmonary embolectomy <br> OR <br> Percutaneous catheter embolectomy| E03= Anticoagulation therapy <br> AND <br> Early discharge|E04= IVC filter <br> AND <br> Early discharge/home treatment| E05= Anticoagulation therapy<br> AND <br> Ward admission| E06= IVC filter <br> AND <br> Ward admission}} | ||
{{familytree | | | | | | | | | | |!| |!| | | | }} | {{familytree | | | | | | | | | | |!| |!| | | | }} | ||
{{familytree | | | | | | | | | | | F01 | | | | F01= Does the patient fail to improve | {{familytree | | | | | | | | | | | F01 | | | | F01= '''Does the patient fail to improve''' <br> OR <br> '''Develop cardiogenic shock or hypotension?'''}} | ||
{{familytree | | | | | | | | | |,|-|^|-|.| | | | }} | {{familytree | | | | | | | | | |,|-|^|-|.| | | | }} | ||
{{familytree | | | | | | | | | F02 | | F03 | | | F02= YES| F03= NO}} | {{familytree | | | | | | | | | F02 | | F03 | | | F02= YES| F03= NO}} | ||
{{familytree | | | | | | | | | |!| | | |!| }} | {{familytree | | | | | | | | | |!| | | |!| }} | ||
{{familytree | | | | | | | | | G01 | | G02 | | G01= Is there any contraindication for fibrinolytic therapy?| G02= Continue with the same treatment}} | {{familytree | | | | | | | | | G01 | | G02 | | G01= '''Is there any contraindication for fibrinolytic therapy?'''| G02= Continue with the same treatment}} | ||
{{familytree | | | | | | | |,|-|^|-|.| | | }} | {{familytree | | | | | | | |,|-|^|-|.| | | }} | ||
{{familytree | | | | | | | H01 | | H02 | | H01= NO| H02= YES}} | {{familytree | | | | | | | H01 | | H02 | | H01= NO| H02= YES}} | ||
Revision as of 17:02, 9 May 2014
| 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 | ||||||||||||||||||||||||||||||||||||||||||||||||