7. PE Flashcards
1
Q
How common is it?
A
3rd most common CVD
60-70 per 100 000
2
Q
Who does it affect?
A
F>M
>60s
3
Q
How does it present?
A
Acute SOB Pleuritic chest pain Haemoptysis Dizziness Syncope Small emboli may be asymptomatic
4
Q
What signs may the patient have on examination?
A
Pyrexia Cyanosis Tachypnoea, tachycardia, hypotension Raised JVP Pleural rub, pleural effusion DVT signs
5
Q
How would you investigate?
A
FBC, U+E, baseline clotting D-dimers (low specificity) ABG CXR ECG CT pulmonary angiography
6
Q
What treatments are there?
A
O2 if hypoxic Morphine + anti-emetic if severe pain LMWH / fondaparinux IV fluids if low bp Consider thrombolysis if harm-dynamically unstable Long-term anticoagulation
7
Q
What other conditions might present similarly?
A
Pneumonia Pneumothorax Asthma, COPD exacerbation Bronchitis ACS GORD
