Clinical: DVT and Pulmonary Embolism

Question 1

What are the risk factors for VTE?

Answer 1

Question 2

DVT

• What are the 2 groups for DVT?
• What are the clinical signs?
• How can a DT become a PE?

Answer 2

Question 3

PE

• What are the 3 classes of this, based on the severity of pulmonary obstruction
• What are the clinical signs of a PE?

Answer 3

Question 4

Wells scores for DVT

• For classes 0, 1/2, and 3 give the risk stratification for DVT as well as the management for them

Answer 4

Question 5

PE

• Give the risk stratification and management for a wells scores of 0-4, and then over 4

Answer 5

Question 6

D-Dimer

• Why do you need to use caution with D-dimer?

DX of DVT

• What is the most common/noninvasive test to dx?
• What is the most accurate test? Why do we not use a lot?

Answer 6

Question 7

DX of PE

• What is the imaging choice for PE?
• The above is not the gold standard test. What is the gold standard and why is it not used often?
• Why would a V/Q scan be used?
• What would you see on an echocardiogram?
• What would be elevated when blood work is done?

Answer 7

Question 8

VTE

• What labs do you need to do before starting treatment with RX?
• What is first line therapy? Second line?
• How long do you need to have treatment for this?
  
  • What needs to be done before 2nd line therapy?

Answer 8

Question 9

VTE

• What are the 2 main ways that VTE can be treated without Rx?
• Massive PE with hemodynamic instability
  
  • What is the drug of choice?
  • What 2 procedures can be conducted?
• What are some PE prevention measures?

Answer 9

Question 10

What can show up on an ECG with a PE?

Answer 10