DrVirgo
Forum Hero
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According to UW Pulmonary Angio is the GOLD STANDARD, for diagnosing PE, but Helical CT is the "TEST OF CHOICE" because pulmonary angio is too invasive.
-would we have to choose from those two as the next best step in case of negative venous U/S?
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| Miradautas Vras
Forum Senior
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I'd go for Helical CT. The algorithm goes like this
CXR and ABG --> EKG --> V/Q scan [ if option for giving heparin is given choose that] --> Helical CT --> Pul Angio.
Angio is obviously better but helical CT is cheaper and readily done.
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| liliaeliz
Forum Elite
Topics: 31
Posts: 295
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UW IF V-Q IS INCONCLUSIV ----VENOUS SONO OR ANGIOTAC --NEGATIVE-- ANGIOGHRAM
IF THE BASLINE C XR IS ABNORMAL OR THE PTE. HAS RALES RONCUS OR CRACKLES ---SPIRAL CT SCAN
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