Management of suspected acute pulmonary embolism in the era of CT angiography: a statement from the Fleischner Society. Radiology. Expert Rev Mol Diagn. A pulmonary angiogram shows the abrupt termination of the ascending branch of the right upper-lobe artery, confirming the diagnosis of pulmonary embolism. Nader Kamangar, MD, FACP, FCCP, FCCM Professor of Clinical Medicine, University of California, Los Angeles, David Geffen School of Medicine; Chief, Division of Pulmonary and Critical Care Medicine, Vice-Chair, Department of Medicine, Olive View-UCLA Medical Center In: Marx JA, Hockenberger RS, Walls RM, eds. Curr Opin Hematol. Crit Care. Kline JA, Zeitouni R, Marchick MR, Hernandez-Nino J, Rose GA. Critical issues in the evaluation and management of adult patients presenting to the emergency department with suspected pulmonary embolism. [Full Text]. Segmental Anatomy of the Lungs: Study of the Patterns of the Segmental Bronchi and Related Pulmonary Vessels. Prognosis of pulmonary embolism (PE) 30% overall mortality but very dependent on severity . Prognostic value of ECG among patients with acute pulmonary embolism and normal blood pressure. 2011 Apr 26. 2003 May 27. Having a pulmonary embolism include risk of possible ? David M, Andrew M. Venous thromboembolic complications in children. 121(7):611-7. When is thrombolytic therapy indicated in pulmonary embolism (PE)? What are the ACR recommendations for the use of chest radiography in suspected pulmonary embolism (PE)? In asking patients about dyspnea, the following types of questions are helpful: [Medline]. When is thrombolytic therapy most beneficial in pulmonary embolism (PE)? [Medline]. 2012 Mar 20. Aujesky D, Roy PM, Verschuren F, et al. N Engl J Med. 4.] 63(4):381-6. [Medline]. Very low probability interpretation of V/Q lung scans in combination with low probability objective clinical assessment reliably excludes pulmonary embolism: data from PIOPED II. When is D-dimer testing most reliable in the diagnosis of pulmonary embolism (PE)? What chest radiography findings suggest the presence of pulmonary embolism (PE)? Questions; Post Page [Top] discussion drtayyab. Sem 1, Pulmonary Mechanics Practice Questions Sem 1, ... Clin Med Practice Exam 1: Pulmonary Clin Med Practice Exam 1: Pulmonary . N Engl J Med. 343:d4656. 122(3):257-64. [Medline]. [Medline]. Outpatient versus inpatient treatment for patients with acute pulmonary embolism: an international, open-label, randomised, non-inferiority trial. What is the significance of elevated serum troponin in patients with pulmonary embolism (PE)? Dollery CM. What are the ACR guidelines for detection of pulmonary embolism (PE)? What are the risks of undiagnosed pulmonary embolism (PE)? [Medline]. Causes and outcomes of the acute chest syndrome in sickle cell disease. Patient History: Pulmonary Examination. Is the PO2 level on ABG analysis useful in diagnosing pulmonary embolism (PE)? [Medline]. [Medline]. Van Ommen CH, Peters M. Acute pulmonary embolism in childhood. [Medline]. [Full Text]. [Medline]. Stein PD, Matta F, Keyes DC, Willyerd GL. 1998 Mar 23. Chest. Vol 2.: Boyden EA. [Medline]. In most cases, the embolism is caused by … 2010 Sep 1. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMzAwOTAxLXF1ZXN0aW9ucy1hbmQtYW5zd2Vycw==. Philadelphia, Pa: WB Saunders; 1997:. When is IV unfractionated heparin (UFH) therapy preferred for anticoagulation for pulmonary embolism (PE)? What is the next step: A. Konstantinides S. Clinical practice. What is the presentation of acute pulmonary infarction? When is consultation with a cardiac surgeon necessary for pulmonary embolism (PE)? If you log out, you will be required to enter your username and password the next time you visit. Ann Intern Med. Courtesy of Justin Wong, MD. Pulmonary embolism is a common disorder that is related to deep vein thrombosis (DVT). 2006 Dec. 98(12):1967-72. As you’ll see, we’ve listed out a ton of practice questions that will teach you everything you need to know about the disease and some of the important nuances to look for in the treatment and prevention of a pulmonary embolism. Alonso-Martínez JL, Urbieta-Echezarreta M, Anniccherico-Sánchez FJ, Abínzano-Guillén ML, Garcia-Sanchotena JL. What are the ACOG guidelines on the diagnosis and management of thromboembolism during pregnancy? Stein PD, Woodard PK, Weg JG, Wakefield TW, Tapson VF, Sostman HD, et al. Dabigatran versus warfarin in the treatment of acute venous thromboembolism. [Medline]. 2013 Jul 2. What are respiratory consequences of pulmonary embolism (PE)? 2007 Nov. 245(2):315-29. [Medline]. Gibson CM, Chi G, Halaby R, Korjian S, Daaboul Y, Jain P, et al. Elliott CG. 121(7):611-7. . 178(4):425-30. What are the AHA guidelines for use of vena cava filters in pulmonary embolism (PE)? Chronic thromboembolic pulmonary hypertension; Right heart failure . Lancet. Return to the next case. Jiménez D, Uresandi F, Otero R, Lobo JL, Monreal M, Martí D, et al. [Medline]. Pulmonary embolism was identified as the cause of death in a patient who developed shortness of breath while hospitalized for hip joint surgery. 1999 Apr 24. Is pulmonary embolism (PE) more common in men or women? 1993 Sep. 123(3):337-46. 358(10):1037-52. d. The risk is same for both Men and Women. What is the efficacy of heparin therapy for pulmonary embolism (PE)? Pulmonary embolism in adolescents. Oral rivaroxaban for symptomatic venous thromboembolism. Available at http://www.medscape.com/viewarticle/807439. Kuklina EV, Meikle SF, Jamieson DJ, Whiteman MK, Barfield WD, Hillis SD, et al. Blood Adv. Ann Emerg Med. Respir Res. Severe obstetric morbidity in the United States: 1998-2005. [Guideline] Kearon C, Akl EA, Ornelas J, Blaivas A, Jimenez D, Bounameaux H, et al. Geerts WH, Code KI, Jay RM, Chen E, Szalai JP. Pulmonary embolism in parenteral nutrition. When is thrombolytic therapy indicated for pulmonary embolism (PE)? N Engl J Med. Question 6. Malek J, Rogers R, Kufera J, Hirshon JM. Order a V/Q scan NEXT QUESTION - - INDEX OF QUESTIONS - - EXAM MENU. 2008 Jul. Judith K Amorosa, MD, FACR Clinical Professor and Program Director, Department of Radiology, University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School; Consulting Staff, Department of Radiology, Robert Wood Johnson University Hospital, Judith K Amorosa, MD, FACR is a member of the following medical societies: American College of Radiology, American Roentgen Ray Society, Association of University Radiologists, Radiological Society of North America, and Society of Thoracic Radiology, Michael S Beeson, MD, MBA, FACEP Professor of Emergency Medicine, Northeastern Ohio Universities College of Medicine and Pharmacy; Attending Faculty, Akron General Medical Center, Michael S Beeson, MD, MBA, FACEP is a member of the following medical societies: American College of Emergency Physicians, Council of Emergency Medicine Residency Directors, National Association of EMS Physicians, and Society for Academic Emergency Medicine, Kavita Garg, MD Professor, Department of Radiology, University of Colorado School of Medicine, Kavita Garg, MD is a member of the following medical societies: American College of Radiology, American Roentgen Ray Society, Radiological Society of North America, and Society of Thoracic Radiology, Eugene C Lin, MD Attending Radiologist, Teaching Coordinator for Cardiac Imaging, Radiology Residency Program, Virginia Mason Medical Center; Clinical Assistant Professor of Radiology, University of Washington School of Medicine, Eugene C Lin, MD is a member of the following medical societies: American College of Nuclear Medicine, American College of Radiology, Radiological Society of North America, and Society of Nuclear Medicine, Robert E O'Connor, MD, MPH Professor and Chair, Department of Emergency Medicine, University of Virginia Health System, Robert E O'Connor, MD, MPH is a member of the following medical societies: American Academy of Emergency Medicine, American College of Emergency Physicians, American College of Physician Executives, American Heart Association, American Medical Association, Medical Society of Delaware, National Association of EMS Physicians, Society for Academic Emergency Medicine, and Wilderness Medical Society, Gary Setnik, MD Chair, Department of Emergency Medicine, Mount Auburn Hospital; Assistant Professor, Division of Emergency Medicine, Harvard Medical School, Gary Setnik, MD is a member of the following medical societies: American College of Emergency Physicians, National Association of EMS Physicians, and Society for Academic Emergency Medicine, Disclosure: SironaHealth Salary Management position; South Middlesex EMS Consortium Salary Management position; ProceduresConsult.com Royalty Other, Eric J Stern, MD Professor of Radiology, Adjunct Professor of Medicine, Adjunct Professor of Medical Education and Biomedical Informatics, Adjunct Professor of Global Health, Vice-Chair, Academic Affairs, University of Washington School of Medicine, Eric J Stern, MD is a member of the following medical societies: American Roentgen Ray Society, Association of University Radiologists, European Society of Radiology, Radiological Society of North America, and Society of Thoracic Radiology, Sara F Sutherland, MD, MBA, FACEP Assistant Professor of Emergency Medicine, University of Virginia Health System; Staff Physician, Department of Emergency Medicine, Martha Jefferson Hospital, Sara F Sutherland, MD, MBA, FACEP is a member of the following medical societies: American College of Emergency Physicians and Society for Academic Emergency Medicine, Francisco Talavera, PharmD, PhD Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference, Gregory Tino, MD Director of Pulmonary Outpatient Practices, Associate Professor, Department of Medicine, Division of Pulmonary, Allergy, and Critical Care, University of Pennsylvania Medical Center and Hospital, Gregory Tino, MD is a member of the following medical societies: American College of Chest Physicians, American College of Physicians, and American Thoracic Society. High D-dimer levels increase the likelihood of pulmonary embolism. What are the key recommendations of the ACCP guidelines for antithrombotic thrombolytic therapy? What is the incidence of physical signs in pulmonary embolism (PE)? [Medline]. 2008 Jul. Pinede L, Ninet J, Duhaut P, Chabaud S, Demolombe-Rague S, Durieu I, et al. 2011 Jul. N Engl J Med. What are the signs and symptoms of massive pulmonary embolism (PE)? Impact of Vena Cava Filters on In-hospital Case Fatality Rate from Pulmonary Embolism. 28(3):370-2. There may also b 2.] 2015 Nov 3. Kabrhel C, Varraso R, Goldhaber SZ, Rimm E, Camargo CA Jr. Radiology. What is the effect of anticoagulant treatment on mortality rates of pulmonary embolism (PE)? Meyer T, Binder L, Hruska N, Luthe H, Buchwald AB. Büller HR, Prins MH, Lensin AW, Decousus H, Jacobson BF, Minar E, et al. 2008 Sep. 15(5):499-503. Burge AJ, Freeman KD, Klapper PJ, Haramati LB. 2009 Mar 26. N Engl J Med. How is pulmonary angiography performed to diagnose pulmonary embolism (PE)? Where does pulmonary embolism (PE) originate? [Full Text]. Fibrinolysis of pulmonary emboli--steer closer to Scylla. [Medline]. National Acute Chest Syndrome Study Group. What are the differential diagnoses for Pulmonary Embolism (PE)? Natriuretic peptides in acute pulmonary embolism: a systematic review. Pulmonary embolism (PE) is a medical condition where an embolus has lodged into the vasculature of the pulmonary system. The epidemiology of venous thromboembolism in the community. Who is at greater risk for pulmonary embolism ? Is pulmonary embolism (PE) a disease or a complication of DVT? 2011 Jul. Pulmonary embolism (PE) can occur without deep vein thrombosis (DVT). All material on this website is protected by copyright, Copyright © 1994-2021 by WebMD LLC. 2011 Sep. 118 (3):718-29. Medscape [serial online]. I hope these practice questions can help you absorb and learn everything you need to know about Pulmonary Edema so that you can truly thrive as a Respiratory Therapy student. N Engl J Med. Pediatr Clin North Am. These are especially important if you were discharged home from the emergency department. And for good reason, too — you see these conditions clinically time and time again. Tapson VF. Posteroanterior and lateral chest radiograph findings are normal, which is the usual finding in patients with pulmonary embolism. Patients identified as low risk and meeting the Pulmonary Embolism Rule-Out Criteria do not require D-dimer testing to eliminate the need for further diagnostic imaging. [Medline]. [Medline]. Dresden S, Mitchell P, Rahimi L, Leo M, Rubin-Smith J, Bibi S, et al. Circulation. [Medline]. Although pulmonary embolism can arise from anywhere in the body, most commonly it arises from the calf veins. >>NCLEX Review Questions — Test Yourself! 2011 Jul 4. 2009 Mar. J Comput Assist Tomogr. [Medline]. The diagnosis of a PE cannot be made on examination alone. How is warfarin therapy used in the treatment of acute pulmonary embolism (PE)? 107(20):2545-7. When is anticoagulation therapy initiated for pulmonary embolism (PE)? [Medline]. What does a negative ultrasonography result suggest in the evaluation of DVT? ... Signs and symptoms of a pulmonary embolism depend on _____. [Guideline] Witt DM, Nieuwlaat R, Clark NP, Ansell J, Holbrook A, Skov J, et al. Dyspnea: SOB, abnormal breathing patterns, cyanosis, clubbing, cough w/ w/out mucus, hypercapnia: too much CO2 >40 due to hypoventilation of alveoli from … What are common risk factors for pulmonary embolism (PE)? Introduction: Introduction. Klok FA, Mos IC, Huisman MV. Obstet Gynecol. [Medline]. How is ECG used in the workup for pulmonary embolism (PE)? Ballew KA, Philbrick JT, Becker DM. [Medline]. [Full Text]. 2009 Oct. 136(4):974-82. Extended-Duration Betrixaban Reduces the Risk of Stroke Versus Standard-Dose Enoxaparin Among Hospitalized Medically Ill Patients: An APEX Trial Substudy (Acute Medically Ill Venous Thromboembolism Prevention With Extended Duration Betrixaban). 2014 Apr 10. What are alternatives to warfarin for prophylaxis and treatment of pulmonary embolism (PE)? How much does contraceptives or HRT increase the risk of venous thromboembolism in women? Aksay E, Yanturali S, Kiyan S. Can elevated troponin I levels predict complicated clinical course and inhospital mortality in patients with acute pulmonary embolism?. What is the role of leptin testing in the evaluation of pulmonary embolism (PE)? Rajpurkar M, Warrier I, Chitlur M, Sabo C, Frey MJ, Hollon W, et al. Correct answer: C. Pulmonary embolism. Ward MJ, Sodickson A, Diercks DB, Raja AS. [Medline]. Dempfle CE, Elmas E, Link A, et al. What are the high-probability criteria for V/Q scanning diagnosis of pulmonary embolism (PE)? How effective is apixaban in the treatment of pulmonary embolism (PE)? [Full Text]. [Full Text]. 2012 Oct. 40(4):919-24. The patient also presented with rapid breathing, pale lips, and cold, clammy skin. 370(15):1457-8. How does pregnancy affect the risk of DVT and pulmonary embolism (PE)? Kline JA, Hogg MM, Courtney DM, Miller CD, Jones AE, Smithline HA, et al. Am J Med. Performance of 4 clinical decision rules in the diagnostic management of acute pulmonary embolism: a prospective cohort study. [Full Text]. If angiography results are negative, what further studies are needed to rule out pulmonary embolism (PE)? 107(6):1035-43. 2005 Nov. 131(3):301-12. [Medline]. Her D-Dimer is 200 mg/ml fibrinogen units. Cohen AT, Dobromirski M. The use of rivaroxaban for short- and long-term treatment of venous thromboembolism. 2009. Which areas of pulmonary embolism (PE) treatment require further research and clinical trials? 2012 Mar. 2011 May 24. 2011 Aug 16. The superficial femoral vein (lateral vein) has the appearance of 2 parallel veins, when in fact, it is 1 lumen containing a chronic linear thrombus. [Medline]. Stein PD, Matta F. Thrombolytic therapy in unstable patients with acute pulmonary embolism: saves lives but underused. Oral apixaban for the treatment of acute venous thromboembolism. A chest radiograph with normal findings in a 64-year-old woman who presented with worsening breathlessness. Why does immobilization increase the risk of pulmonary embolism (PE)? 2012 May. Medscape [serial online]. 123(16):1788-1830. What are hemodynamic consequences of pulmonary embolism (PE)? 2008 Apr. ABGs evaluate oxygenation level, but they do not diagnose a pulmonary embolism. Chest x-ray and EKG are usually normal. Am J Med. What is the difference between central, peripheral, and massive pulmonary embolism (PE)? 129(7):764-72. Available at http://www.medscape.com/viewarticle/823427. 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