78. PE and DVT

Question 1

7 predisposing factors

Answer 1

o	Trauma
o	Inflammation
o	Thrombophilia
o	Hb opathies
o	Cancer
o	Pregnancy
o	Sluggish blood flow

Question 2

Triad of risk for DVT

Answer 2

1. stasis
2. venous injury
3. coagulablity

Question 3

8 deep veins of leg

Answer 3

	Anterior tib
	Post tib
	Peroneal
	Popliteal
	Femoral
	Common femoral
	External iliac

Question 4

when to use 3 point vs doppler of leg

Answer 4

3 point for low risk

Question 5

MGMT of DVT

Answer 5

1. heparin
2. LMWH
3. DOAC
   - riva
   - apix

Question 6

RF for upper extremity DVT

Answer 6

PICC

Question 7

MGMT supeficial thrombophlebitis

Answer 7

NSAIDs

warm compresses

Question 8

what is Phlegmasia cerulea dolens (painful blue leg)

Answer 8

Massive iliofemoral vein occlusion

• Painful cyanotic extremity
• Prompt vascular consult

Question 9

PERC crit

Answer 9

Age < 50
HR< 100
Sats >95
no hemoptysis
no unilateral legs pain
no recetn surgery
no previosu PE/DVT
no hormones

Question 10

2 CXR

Answer 10

Hampton’s hump
- wedge sign
Westermark
- olidgemis

Question 11

5. ECG findings for PE

Answer 11

o	Pulmonary HTN
o	TWI in V1-4
o	S1Q3T3
o	RBBB
o	Should look for signs of alternative Dx

Question 12

MGMT of PE

Answer 12

o High PTP, no contraindications
o No HD instability, hypotension or hypoxemia
o LMW has lower rates of massive hemorrhage
o Apixaban and riva are alternatives

Question 13

2 alternative MGMT of PE and indications

Answer 13

1. fibrinolysis
   - hypotension
   - impending or actual resp failure
2. embolectomy
   - floating thrombus in R heart
   - severe refractory hypoT