ChestPain分析.pptVIP

PE Diagnosis Symptoms SOB or dyspnea- Present in 90% Chest pain (pleuritic)- 66% of patients with PE Cough Sudden onset Signs Tachycardia 100 beats per minute Tachypnea 20 breaths per minute Hypoxia 95% on RA (no other cause) Lower extremity swelling Pulmonary Embolus Risk Factors Hypercoaguability Malignancy, pregnancy, estrogen use, factor V Leiden, protein C/S deficiency Venous stasis Bedrest 48 hours, recent hospitalization, long distance travel Venous injury Recent trauma or surgery Case 2 - PE How will you confirm your suspicion? PE Diagnosis D-dimer Very sensitive in low to m