Pulmonary embolism diagnostic approach
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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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Treatment |
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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 diagnostic approach On the Web |
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Directions to Hospitals Treating Pulmonary embolism diagnostic approach |
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Risk calculators and risk factors for Pulmonary embolism diagnostic approach |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editors-in-Chief: Ujjwal Rastogi, MBBS [2]
Overview
Signs and symptoms of pulmonary embolism are nonspecific; therefore, patients presenting with:
- unexplained dyspnea
- tachypnea
- chest pain
- Risk factors for pulmonary embolism
—should undergo diagnostic tests until the diagnosis is confirmed or eliminated or an alternative diagnosis is made.
CT equipped hospitals
In hospitals having experience in performing and interpreting CT Pulmonary angiography, following flowchart approach can be adopted.
| Determine chances of PE | |||||||||||||||||||||||||||||||||
| Low chances of PE | High chances of PE | ||||||||||||||||||||||||||||||||
| D-dimer | |||||||||||||||||||||||||||||||||
| <500 ng/ml | >500 ng/ml | CT Pulmonary angiography | |||||||||||||||||||||||||||||||
| PE excluded | Negative | Positive | |||||||||||||||||||||||||||||||
| PE excluded | PE confirmed | ||||||||||||||||||||||||||||||||
CT inexperienced Hospital
Prospective Investigation of Pulmonary Embolism Diagnosis (PIOPED) Study proposed the following, for hospitals who do not have sufficient resources to perform or interpret CT Pulmonary angiography.