dr.roh
Forum Guru
Topics: 159
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Women suspected of having PE, the V/Q scan was negative what do you do next? Spiral CT, d-dimer, CXR, ekg (angiography wasn’t there)
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| GOGETA
I'm Dr. GOGETA
Topics: 321
Posts: 2,710
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D dimer if negative no PE
On ECG you can find S1 Q3 and inverted T wave in lead 3
Spiral Ct is very tempting.
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| dr19
Forum Senior
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Step-up to Medicine says:
A normal V/Q scan virtually rules out PE-no further testing needed.
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| docnikki
Forum Guru
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since suspected of having a PE we need a test to rule in rather than rule out PE. d dimer can rule out but cant rule in as its not that specific. Spiral CT would be my pick.
whats the ans?
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| doc_clotaire
Forum Guru
Topics: 159
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When the V/Q findings and the clinical suspiscion of PE are discordant , FUTHER testing should be performed .
In this case , since Pulmonary Angiography was not there , the best answer should be SPIRAL CT. The other options (EKG , D-dimers ) are NON DEFINITIVE TEST
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| Kamsi
Forum Guru
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Spiral Ct scan
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| dr.roh
Forum Guru
Topics: 159
Posts: 361
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Spiral CT
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| DrVirgo
Forum Hero
Topics: 1084
Posts: 3,469
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agree
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