achilles
Forum Guru
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hi loreal ,
if the V/Q scan is high probability and high or intermediate clinical suspicion for PE ( the patient has risk factors for PE ) then the patient should be treated and one does not need to go for other tests but if the V/Q scan is low probability and there is high clinical suspision for PE then an angiography is a must for determining what further management is to be done.
and i just went thru my text again and it says the first initial test for PE is V/Q scan and the gold standard is angiography. but dont know about your question about abg's and chest x-ray.sorry.
hope that helped.
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| loreal
Forum Senior
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thanks achilles but have u done uw ,sometimes i get confusedwhat to do there i said that pick abg /xray
can some one help us who did uw ..thanks
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loreal
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| lucky
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i picked abg and cxr on this q. i dont remeber the stem now but the clinical picture was such that pulmonary emb. was not very clear dx. so from the options given i thougt cxr and abg would be best as the INITIAL test.
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| achilles
Forum Guru
Topics: 89
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thanks lucky...
loreal ,
1) if the stem says that chest x-ray and ABG's have been done then the next step is V/Q scan but if
2)the stem does not mention that chest xray and abg's have been done then the next step is to do chest xray and abg's...and
3)if the stem does not say that chest xray and abg's have been done and the question is not the next step but what is the best diagnostic test then the answer is V/Q scan..
but well another point is that chest x-ray is normal in PE in 90% of patients ...
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" it's not whether you get knocked down, it's whether you get up"
" i have miles to go before i sleep "
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| achilles
Forum Guru
Topics: 89
Posts: 1,224
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hi loreal , i am still doing uw ( as advised by you ) and now am realising the difference between next best initial step , diagnostic test , best diagnostic test et all...
hope it all helps...good luck.
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" it's not whether you get knocked down, it's whether you get up"
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| loreal
Forum Senior
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its all bout these 3 things in step2 , its make me goooooooooooooooo crazy . thanks achilles and lucky too
if i find mre confusing questions will ask u than . thanks for help
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loreal
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| achilles
Forum Guru
Topics: 89
Posts: 1,224
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anytime
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" i have miles to go before i sleep "
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