xfwang2002
Forum Junior
Topics: 8
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if suspect plum throm, #3 should be first
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| Dot
Forum Senior
Topics: 1
Posts: 168
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Mgt of PE depends upo presentation of the pt.
There r 3typs of clinical presentation.1]pt with hypotension -give thrmbolytics 2]pt with abnormal ventricular wall movement-decide between thrmbolyics or heprin 3]pt with vitals normal-warfarin and heparin.
Investigation-VQ scan and D_dimer test
Here i think ans is 3[becas we r suspecting Pe not dignosed yet an so before giving any therpy be sure]
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| tamriko
Forum Elite
Topics: 23
Posts: 296
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3. V/Q scan.
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| Hamidi
Forum Guru
Topics: 46
Posts: 471
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I am thinking do blood gases first(2) and then if suspect PE(low O2) then go for v/q scan to confirm.
Also Xaray chest (in option2) wud exclude other D/Ds like pneumothorax, pneumonia etc.What do u guys think ..... :?:
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| Dot
Forum Senior
Topics: 1
Posts: 168
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Here we have to confirm a suspected disease.I dont think we have to rule out other disease if some confirmatory test is available.
What harrison says- D-dimer
!-if no result
V/Q
!
Usg[r/o DVT]
!
Angiography(the best one}
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