lakshya
Forum Senior
Topics: 44
Posts: 106
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A 6 day post op patient after surgery has chest pain with shortness of breath. Examination is normal. Ekg sinus tachycardia. pH 7.49, p CO2 29, p O2 66. V/Q scan shows low probability for PE. What would you do next?
a Pulmonary angio ( for high suspicion based on clinical set up)
b Echo ( to rule out RV strain or dysfunction that can guide your suspicion further)
c Discharge and follow up after 2 weeks
d Ibuprofen
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| frank100
Forum Guru
Topics: 48
Posts: 586
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a
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| tolito
Forum Fanatic
Topics: 119
Posts: 2,174
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a.
V/Q scans are not reliable in most surgical patient. the gold standard for diagnosing PE is pulm angio
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