DVT complete diagnostic approach resident survival guide: Difference between revisions
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{{familytree/start}} | {{familytree/start}} | ||
{{familytree | | | | | | | A01 | | | | | | | | | | | | | | | | | A02 | A01= Suspected high-risk PE}} | {{familytree | | | | | | | A01 | | | | | | | | | | | | | | | | | A02 | A01= Suspected high-risk PE| A02= Suspected non-high risk PE}} | ||
{{familytree | | | | | | | |!| | | | | | | | | | | | | | | | | | |!| }} | {{familytree | | | | | | | |!| | | | | | | | | | | | | | | | | | |!| }} | ||
{{familytree | | | | | | | B01 | | | | | | | | | | | | | | | | | B02| | {{familytree | | | | | | | B01 | | | | | | | | | | | | | | | | | B02| B01= Is a CT available immediately?| B02= What is the pretest probability of PE?}} | ||
{{familytree | | | |,|-|-|-|^|-|-|-|-|-|-|-|.| | | | | | | |,|-|-|^|-|-|.| | }} | {{familytree | | | |,|-|-|-|^|-|-|-|-|-|-|-|.| | | | | | | |,|-|-|^|-|-|.| | }} | ||
{{familytree | | | C01 | | | | | | | | | | C02 | | | | | | |!| | | | | |!| | C01= No| C02= Yes}} | {{familytree | | | C01 | | | | | | | | | | C02 | | | | | | |!| | | | | |!| | C01= No| C02= Yes}} | ||
| Line 8: | Line 8: | ||
{{familytree | | | D01 | | | | | | | | | | |!| | | | | | | |!| | | | | |!| | D01= Order [[echocardiography]]}} | {{familytree | | | D01 | | | | | | | | | | |!| | | | | | | |!| | | | | |!| | D01= Order [[echocardiography]]}} | ||
{{familytree | | | |!| | | | | | | | | | | |!| | | | | | | |!| | | | | |!| | }} | {{familytree | | | |!| | | | | | | | | | | |!| | | | | | | |!| | | | | |!| | }} | ||
{{familytree | | | E01 | | | | | | | | | | |!| | | | | | | E02 | | | | E03 | E01= Does the patient have RV overload?}} | {{familytree | | | E01 | | | | | | | | | | |!| | | | | | | E02 | | | | E03 | E01= Does the patient have RV overload?| E02= Low/intermediate pretest probability <br>OR<br> PE is unlikely| E03= High pretest probability <br>OR<br> PE is likely}} | ||
{{familytree | |,|-|^|-|-|-|.| | | | | | | |!| | | | | | | |!| | | | | |!| | }} | {{familytree | |,|-|^|-|-|-|.| | | | | | | |!| | | | | | | |!| | | | | |!| | }} | ||
{{familytree | F01 | | | | F02 | | | | | | F03 | | | | | | F04 | | | | |!| F01= No| F02= Yes| F03= Order CT}} | {{familytree | F01 | | | | F02 | | | | | | F03 | | | | | | F04 | | | | |!| F01= No| F02= Yes| F03= Order CT| F04= Order D-dimer}} | ||
{{familytree | |!| | | | | |!| | | | | |,|-|^|-|.| | | |,|-|^|-|.| | | |!| }} | {{familytree | |!| | | | | |!| | | | | |,|-|^|-|.| | | |,|-|^|-|.| | | |!| }} | ||
{{familytree | |!| | | | | |!| | | | | G02 | | G03 | | G04 | | G05 | | |!| G01= | G02= Positive | {{familytree | |!| | | | | |!| | | | | G02 | | G03 | | G04 | | G05 | | |!| G01= | G02= Positive| G03= Negative| G04= Negative| G05= Positive}} | ||
{{familytree | |!| | | |,|-|^|-|.| | | |!| | | |!| | | |!| | | |!| | | |!| }} | {{familytree | |!| | | |,|-|^|-|.| | | |!| | | |!| | | |!| | | |!| | | |!| }} | ||
{{familytree | |!| | | H01 | | H02 | | |!| | | |!| | | H03 | | H04 | | H05 | | | H01= Is the patient unstable <br> OR<br> no other tests are available?| H02=Is the patient stabilized <br> AND <br> CT is now available?}} | {{familytree | |!| | | H01 | | H02 | | |!| | | |!| | | H03 | | H04 | | H05 | | | H01= Is the patient unstable <br> OR<br> no other tests are available?| H02=Is the patient stabilized <br> AND <br> CT is now available?| H03= PE is excluded| H04= Order CT| H05= Order CT}} | ||
{{familytree | |!| | | |!| | | |!| | | |!| | | |!| | | |,|-|-|-|(| | | |)|-|-|-|.| | }} | {{familytree | |!| | | |!| | | |!| | | |!| | | |!| | | |,|-|-|-|(| | | |)|-|-|-|.| | }} | ||
{{familytree | I01 | | I02 | | I03 | | I04 | | I05 | | I06 | | I07 | | I08 | | I09 | I01= PE is excluded| I02= Consider thrombolysis or embolectomy| I03= Order CT| I04= PE is confirmed| I05=PE is excluded}} | {{familytree | |!| | | |!| | | |!| | | |!| | | |!| | | L01 | | L02 | | L03 | | L04 | L01= Negative| L02= Positive| L03= Negative| L04= Positive}} | ||
{{familytree | |!| | | |!| | | |!| | | |!| | | |!| | | |!| | | |!| | | |!| | | |!| | }} | |||
{{familytree | I01 | | I02 | | I03 | | I04 | | I05 | | I06 | | I07 | | I08 | | I09 | I01= PE is excluded| I02= Consider thrombolysis or embolectomy| I03= Order CT| I04= PE is confirmed| I05=PE is excluded| I06= PE is excluded| I07= PE is confirmed| I08= PE is excluded| I09= PE is confirmed}} | |||
{{familytree | | | | | | | |,|-|^|-|.| | | | }} | {{familytree | | | | | | | |,|-|^|-|.| | | | }} | ||
{{familytree | | | | | | | J01 | | J02 | | | J01= Positive for PE| J02= Negative for PE}} | {{familytree | | | | | | | J01 | | J02 | | | J01= Positive for PE| J02= Negative for PE}} | ||
Revision as of 15:41, 15 May 2014
| Suspected high-risk PE | Suspected non-high risk PE | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Is a CT available immediately? | What is the pretest probability of PE? | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| No | Yes | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Order echocardiography | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Does the patient have RV overload? | Low/intermediate pretest probability OR PE is unlikely | High pretest probability OR PE is likely | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| No | Yes | Order CT | Order D-dimer | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Positive | Negative | Negative | Positive | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Is the patient unstable OR no other tests are available? | Is the patient stabilized AND CT is now available? | PE is excluded | Order CT | Order CT | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Negative | Positive | Negative | Positive | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| PE is excluded | Consider thrombolysis or embolectomy | Order CT | PE is confirmed | PE is excluded | PE is excluded | PE is confirmed | PE is excluded | PE is confirmed | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Positive for PE | Negative for PE | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| PE is confirmed | PE is excluded | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||