PE Flashcards
1
Q
What are the risk factors for PE?
A
Recernt major trauma or surgery Cancer Significant cardiopulmonary disease Pregnancy Inherited thrommbophilia Immobility
2
Q
What is the presentation of PE?
A
Pleuritic chest pain Dyspnoea Cough and haemoptysis Tachycardia Tachypneoa May have features of DVT
3
Q
What is the initial investigation for PE?
A
Full history and exam
ECG
CXR
4
Q
What score is used to predict likelihood of PE?
A
Wells score
5
Q
What are the outcomes of the well score?
A
>4= CTPA <4= D dimer
6
Q
What is the scan of choice if CTPA contraindicated?
A
V/Q scan
7
Q
What would be some contraindications to CTPA?
A
Renal impairment
Pregnancy
Known allergy to contrast
8
Q
What investigation is done if D dimer +?
A
CTPA
9
Q
What is the initial management of PE?
A
Haemodynamic compromise= thrombolysis
Stable= LMWH e.g. enoxaparin, dalteparin
10
Q
What is then ongoing management of PE?
A
At 5 days
- Switch to warfarin/DOAC and assess at 3 months
- pregnancy/active cancer= continue LMWH for 6 months
11
Q
When can anticoagulation be stopped after PE?
A
Unprovoked= long term continuance
Provoked, reversible cause= ~3 months
