Risk factors :- (learn them.. these are very important)
Trick - BOL HOT FAT PP
• Old
• Fat
• Pregnancy
• Oestrogen
• Homocystinemia
• Trauma / Surgery
• Pelvic cancer
• Leg paralysis
• Bechet's disease
C/F :-
• Dyspnoea (MC)
• Chest pain
• Tachypnea
• Neck vien distension
• DVT/ Immobilization
• Heart rate >100/min
Diagnosis :-
• D-dimer (Used for screening mainly)
• CT with IV contrast (Investigation of choice)
• Lung perfusion scan (2nd line test)
• Selective pulmonary angiography (most specific)
• CXR :-
Trick - West Ham se pallas le ao
Westermark's sign
Hampton's sign
Palla's Sign
• ECG - Sinus Tachycardia (always present)
T/t :-
• O2 and mechanical ventilation
• IV fluid 500-1000 ml (Slow perfusion is must else it can lead to right ventricular failure)
• Anticoagulant (mainstay)
• Thrombolytics
• Embolectomy
• Vana Cava filter
Click here to check our FB page
Trick - BOL HOT FAT PP
• Old
• Fat
• Pregnancy
• Oestrogen
• Homocystinemia
• Trauma / Surgery
• Pelvic cancer
• Leg paralysis
• Bechet's disease
C/F :-
• Dyspnoea (MC)
• Chest pain
• Tachypnea
• Neck vien distension
• DVT/ Immobilization
• Heart rate >100/min
Diagnosis :-
• D-dimer (Used for screening mainly)
• CT with IV contrast (Investigation of choice)
• Lung perfusion scan (2nd line test)
• Selective pulmonary angiography (most specific)
• CXR :-
Trick - West Ham se pallas le ao
Westermark's sign
Hampton's sign
 |
| Watermark sign (R) Hampton's sign (L) |
• ECG - Sinus Tachycardia (always present)
T/t :-
• O2 and mechanical ventilation
• IV fluid 500-1000 ml (Slow perfusion is must else it can lead to right ventricular failure)
• Anticoagulant (mainstay)
• Thrombolytics
• Embolectomy
• Vana Cava filter
Click here to check our FB page
 |
| VanaCaval Filter |
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