Saturday, August 2, 2008

Pulmonary embolism in SCI

1. What are the symptoms of PE?
2. How is PE diagnosed?
3. What is the treatment for PE?

Answers:
1. Pleuritic chest pain, dyspnea, fever, hemoptysis, tachycardia, hypoxemia
2. EKG (R axis deviation, tachycardia, RBBB), ABG, CXR (wedge shaped opacity, fluid, vascularity), VQ scan, pulmonary arteriogram (gold standard).
3. O2, heparin, vasopressor (for shock), and possible embolectomy.

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