Pulmonary embolism compression ultrasonography: Difference between revisions

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{{Pulmonary embolism}}
{{Pulmonary embolism}}
{{PE editors}}
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'''Associate Editors-in-Chief:''' [[User:Ujjwal Rastogi|Ujjwal Rastogi, MBBS]] [mailto:urastogi@perfuse.org]
==Overview==
==Overview==
Tests that are frequently done that are not [[sensitivity (tests)|sensitive]] for PE, but can be diagnostic.
Tests that are frequently done that are not [[sensitivity (tests)|sensitive]] for PE, but can be diagnostic.


*''[[medical ultrasound|Compression Ultrasonography]] of the legs'', also known as ''leg doppler'', in search of [[deep venous thrombosis]] (DVT). The presence of [[deep venous thrombosis|DVT]], as shown on [[ultrasonography]] of the legs, is in itself enough to warrant anticoagulation, without requiring the V/Q or spiral CT scans (because of the strong association between DVT and PE). This may be valid approach in [[pregnancy]], in which the other modalities would increase the risk of birth defects in the unborn child. However, a negative scan does not rule out PE, and low-radiation dose scanning may be required if the mother is deemed at high risk of having pulmonary embolism.
*''[[medical ultrasound|Compression Ultrasonography]] of the legs'', also known as ''leg doppler'', in search of [[deep venous thrombosis]] (DVT). The presence of [[deep venous thrombosis|DVT]], as shown on [[ultrasonography]] of the legs, is in itself enough to warrant anticoagulation, without requiring the V/Q or spiral CT scans (because of the strong association between DVT and PE). This may be valid approach in [[pregnancy]], in which the other modalities would increase the risk of birth defects in the unborn child. However, a negative scan does not rule out PE, and low-radiation dose scanning may be required if the mother is deemed at high risk of having pulmonary embolism.
   
   
==References==
{{reflist|2}]
   
   
[[Category:Hematology]]
[[Category:Hematology]]

Revision as of 16:43, 26 April 2012

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Editor(s)-In-Chief: The APEX Trial Investigators, C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]

Overview

Tests that are frequently done that are not sensitive for PE, but can be diagnostic.

  • Compression Ultrasonography of the legs, also known as leg doppler, in search of deep venous thrombosis (DVT). The presence of DVT, as shown on ultrasonography of the legs, is in itself enough to warrant anticoagulation, without requiring the V/Q or spiral CT scans (because of the strong association between DVT and PE). This may be valid approach in pregnancy, in which the other modalities would increase the risk of birth defects in the unborn child. However, a negative scan does not rule out PE, and low-radiation dose scanning may be required if the mother is deemed at high risk of having pulmonary embolism.

References

{{reflist|2}]

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