Difference between revisions of "PULMONARY EMBOLISM-FOLLOW UP"
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==Reference(s)== | ==Reference(s)== | ||
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<br/>Wilkinson, I. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press. | <br/>Wilkinson, I., Furmedge, D. and Sinharay, R. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press. [https://amzn.to/3YHrI6K Get it on Amazon.] | ||
<br/>Feather, A., Randall, D. and Waterhouse, M. (2020). Kumar And Clark’s Clinical Medicine. 10th ed. S.L.: Elsevier Health Sciences. [https://amzn.to/3k7WSW0 Get it on Amazon.] | |||
<br/>Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy. | <br/>Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy. | ||
<br/>Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021]. | <br/>Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021]. | ||
Latest revision as of 20:03, 13 March 2023
SUMMARY
PROGNOSIS
1. Mortality low overall (0.2%)
2. Mortality for Massive PE or Submassive PE was 5-6%, for Massive PE with shock was 32%[1]
INVESTIGATIONS
3. Massive PE: repeat imaging and echocardiogram to rule out CTEPH
4. Still symptomatic after 6 months: repeat imaging and echocardiogram to rule out CTEPH
PREVENTION
5. Long term anticoagulation
6. Aspirin
7. Anticoagulation cover for long haul flights and operations
8. Plan pregnancies
9. Screen for thrombophilia: indicated in young patients (< 50 years)
Reference(s)
- ↑ Alpert JS, Smith R, Carlson CJ, Ockene IS, Dexter L, Dalen JE . Mortality in Patients Treated for Pulmonary Embolism. JAMA. 1976;236(13):1477-1480.
Wilkinson, I., Furmedge, D. and Sinharay, R. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press. Get it on Amazon.
Feather, A., Randall, D. and Waterhouse, M. (2020). Kumar And Clark’s Clinical Medicine. 10th ed. S.L.: Elsevier Health Sciences. Get it on Amazon.
Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021].
