Venous thromboembolism - Pulmonary embolism
6 important questions on Venous thromboembolism - Pulmonary embolism
What are the symptoms of a pulmonary emoblism?
- Dyspnoe
- chest pain
- dry cough
- fever
- syncope
- hemoptysis
- tachycardia en tachypnea
- unilateral leg pain/ signs of DVT
What are the three different prediction tests for pulmonary emobolisms and how do you interpretate them?
- Wells score
- <4 D-dimer testing
- >4 CT angiography
- Genova score
- <4 non high probability of PE
- >4 high probability of PE
- YEARS score
- clinical signs of DVT
- Hemoptysis
- most likely diagnosis
- No Years D-dimer 1000
- 1-3 Years D-dimer 500
What are the additional diagnostic options for pulmonary embolisms?
- ECG
- Ventilation-perfusion scan (not used anymore)
- MRI angiography
- CT angiography (standard)
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What are the diagnostic steps to conclude that the patient has a pulmonary embolism?
2. D-dimer values
3. CT angiography
What are the therapeutic options for a pulmonary embolism?
- DOAC
- Vitamin K antagonist
- Subcutaneous low-molecular-weight heparin
- Unfractionated heparin
How long does the patient needs to use anticoagulants after a pulmonary emoblism?
- Unprovoked: lifelong
- Provoked: 3 months + cause needs to be eliminated + duplex echography
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