Pulmonary embolism differential diagnosis: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Pulmonary embolism}} | {{Pulmonary embolism}} | ||
'''Editor(s)-In-Chief:'''[[C. Michael Gibson, M.S., M.D.]] [mailto:charlesmichaelgibson@gmail.com], {{ATI}}; {{AE}} | '''Editor(s)-In-Chief:'''[[C. Michael Gibson, M.S., M.D.]] [mailto:charlesmichaelgibson@gmail.com], {{ATI}}; {{AE}} {{Rim}} | ||
==Overview== | ==Overview== | ||
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==Differential Diagnosis== | ==Differential Diagnosis== | ||
===Life Threatening Differential Diagnosis=== | |||
* [[Acute myocardial infarction]] | |||
* [[Aortic dissection]] | |||
* [[Pericardial tamponade]] | |||
===Common Differential Diagnosis in Outpatients=== | ===Common Differential Diagnosis in Outpatients=== | ||
Among outpatients presenting with [[dyspnea]], <4 % are diagnosed with [[PE]].<ref name="pmid22094406">{{cite journal| author=Squizzato A, Luciani D, Rubboli A, Di Gennaro L, Gennaro LD, Landolfi R et al.| title=Differential diagnosis of pulmonary embolism in outpatients with non-specific cardiopulmonary symptoms. | journal=Intern Emerg Med | year= 2013 | volume= 8 | issue= 8 | pages= 695-702 | pmid=22094406 | doi=10.1007/s11739-011-0725-1 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22094406 }} </ref> Common differential diagnoses include:<ref name="pmid22094406">{{cite journal| author=Squizzato A, Luciani D, Rubboli A, Di Gennaro L, Gennaro LD, Landolfi R et al.| title=Differential diagnosis of pulmonary embolism in outpatients with non-specific cardiopulmonary symptoms. | journal=Intern Emerg Med | year= 2013 | volume= 8 | issue= 8 | pages= 695-702 | pmid=22094406 | doi=10.1007/s11739-011-0725-1 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22094406 }} </ref> | Among outpatients presenting with [[dyspnea]], <4 % are diagnosed with [[PE]].<ref name="pmid22094406">{{cite journal| author=Squizzato A, Luciani D, Rubboli A, Di Gennaro L, Gennaro LD, Landolfi R et al.| title=Differential diagnosis of pulmonary embolism in outpatients with non-specific cardiopulmonary symptoms. | journal=Intern Emerg Med | year= 2013 | volume= 8 | issue= 8 | pages= 695-702 | pmid=22094406 | doi=10.1007/s11739-011-0725-1 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22094406 }} </ref> Common differential diagnoses include:<ref name="pmid22094406">{{cite journal| author=Squizzato A, Luciani D, Rubboli A, Di Gennaro L, Gennaro LD, Landolfi R et al.| title=Differential diagnosis of pulmonary embolism in outpatients with non-specific cardiopulmonary symptoms. | journal=Intern Emerg Med | year= 2013 | volume= 8 | issue= 8 | pages= 695-702 | pmid=22094406 | doi=10.1007/s11739-011-0725-1 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22094406 }} </ref> | ||
* [[Acute heart failure]] | * [[Acute heart failure]] | ||
* [[Pneumonia]] | * [[Pneumonia]] | ||
* [[Chronic obstructive pulmonary disease | * [[Chronic obstructive pulmonary disease]] exacerbation | ||
===Complete List of Differential Diagnosis=== | ===Complete List of Differential Diagnosis=== | ||
Revision as of 01:49, 8 July 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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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 differential diagnosis On the Web |
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Directions to Hospitals Treating Pulmonary embolism differential diagnosis |
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Risk calculators and risk factors for Pulmonary embolism differential diagnosis |
Editor(s)-In-Chief:C. Michael Gibson, M.S., M.D. [1], The APEX Trial Investigators; Associate Editor(s)-in-Chief: Rim Halaby, M.D. [2]
Overview
Pulmonary embolism must be distinguished from other life-threatening causes of chest pain including acute myocardial infarction, aortic dissection, and pericardial tamponade, as well as a large list of non-life-threatening causes of chest discomfort and shortness of breath.
Differential Diagnosis
Life Threatening Differential Diagnosis
Common Differential Diagnosis in Outpatients
Among outpatients presenting with dyspnea, <4 % are diagnosed with PE.[1] Common differential diagnoses include:[1]
Complete List of Differential Diagnosis
- Acute coronary syndrome
- Acute heart failure[1]
- Asthma acute exacerbation
- Acute respiratory distress syndrome
- Anemia
- Angina pectoris
- Anxiety disorders
- Aortic stenosis
- Atrial fibrillation (diagnosis and management)
- Bronchitis
- Cardiogenic shock
- Cardiac tamponade
- Chronic obstructive pulmonary disease exacerbation[1]
- Community acquired pneumonia[1]
- Cor pulmonale
- Costochondritis
- Dilated cardiomyopathy
- Distributive shock
- Emphysema
- Fat embolism
- Hemorrhagic shock
- Herpes zoster
- Hyperventilation
- Mediastinitis
- Mitral stenosis
- Musculoskeletal pain
- Myocardial infarction
- Myocardial ischemia
- Myocarditis
- Noncardiogenic pulmonary edema
- Pericarditis
- Pleuritis
- Pneumonia
- Pneumothorax
- Pulmonary hypertension, primary
- Pulmonary hypertension, secondary
- Restrictive cardiomyopathy
- Rib fracture
- Salicylate intoxication
- Septic shock
- Silicone pulmonary embolism[2]
- Sudden cardiac death
- Superior vena cava syndrome
- Syncope
- Toxic shock syndrome
- Trauma to the chest
- Unstable angina
References
- ↑ 1.0 1.1 1.2 1.3 1.4 Squizzato A, Luciani D, Rubboli A, Di Gennaro L, Gennaro LD, Landolfi R; et al. (2013). "Differential diagnosis of pulmonary embolism in outpatients with non-specific cardiopulmonary symptoms". Intern Emerg Med. 8 (8): 695–702. doi:10.1007/s11739-011-0725-1. PMID 22094406.
- ↑ Restrepo CS, Artunduaga M, Carrillo JA, Rivera AL, Ojeda P, Martinez-Jimenez S; et al. (2009). "Silicone pulmonary embolism: report of 10 cases and review of the literature". J Comput Assist Tomogr. 33 (2): 233–7. doi:10.1097/RCT.0b013e31817ecb4e. PMID 19346851.