Anil Kumar980
Forum Senior
Topics: 15
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A 50 yr female with h/o of DVT comes in with Cl/F highly suggestive of PE .whats the next best step in Mx?
Kap surgery says its an ABG but most other books say its a V/Q scan.CMDT says ABG is useless.
Also when (I mean in what diseases)is ABG the next best step in management
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| mdwannabe
Forum Guru
Topics: 37
Posts: 1,133
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Problems with membrane (COPD, ARDS etc.) ABG's wll help to manage. In PE you need V/Q next or CT chest.
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| bozhenka
Forum Senior
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Pulmonary arteriogram is a goldstandard to recognize the PE.
V/Q test is only suggest PE, and at the end you need angiography to diagnose of PE.
Treatment is supportive: cardiovascular support, heparin, thrombolityc therapy, pulmonary embolectomy is reserved for very ill patients.
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