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6 Cards in this Set
- Front
- Back
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What is the pathology of pulmonary embolus?
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Obstruction of vascular tree
Blocks blood flow Reduced surfactant production and deflates Reduces gas exchange |
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What are the symptoms of PE?
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Pleuritic chest pain
Fever Dyspnoea Haemoptysis |
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What are the risk factors for a PE?
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Obstetrics
Immobility Malignancy Previous proven VTE Increase D-dimer score Thrombotic disorder Major surgery Long haul flights Smoking Oral contraceptives Alcoholic liver disease or cirrhosis CVD |
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What are the signs of a PE?
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Tachypnoea
Pleural rub Hypoxia Decreased BP Haemoptysis Pleuritic pain Clinical signs limited |
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What are the investigations for PE?
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CXR - pleural effusion
D-dimer Ventilation perfusion scna Leg ultrasound CT pulmonary angiogram ECHO - RV dilation Bloods - raised ESR and WBCs Arterial hypoxaemia |
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How is PE treated?
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High flow oxygen
Surgical embolectomy Fimbrinolytic agents Haemodynamically unstable |
