Pulm 3 Flashcards
1
Q
PE
A
blood clot that travels to 1 or more arteries in the lungs
2
Q
PE - clinical pres may range from
2
A
asympotamic to sudden death
3
Q
PE - ask about
8
A
- unilateral leg swelling
- recent long distance travel
- hormonal BC
- pregnancy
- malignancy
- tobacco use
- coagulopathy hx of blood clots
- recent surgeries
4
Q
PE - clinical presentation
7
A
- dyspnea
- acute CP (pleuritic - CP that is sharp or stabbing that increases with coughing, breathing, or sneezing)
- palpitations
- hemoptysis
- lightheadedness
- dizziness
- syncope
5
Q
PE - vital signs may show
4
A
- tachypnea
- hypoxia
- hypotension
- fever
6
Q
PE - CV finding
1
A
tachycardia
7
Q
PE - pulmonary findings can include
2
A
- increased WOB
- crackles/rales
8
Q
PE - extremity findings can include
3
A
- unilateral extremity edema (likely lower)
- erythema
- warmth
9
Q
PE - img/testing
4
A
- Wells’ Criteria/PERC to stratify risk
- EKG - sinus tachy, right heart strain
- cxr
- pregnancy test
10
Q
PE - DD
4
A
- ACS
- pneumothorax
- PNA
- costochondritis
11
Q
PE - if low risk per Wells’ criteria then use
A
PERC rule
12
Q
PE - PERC rule negative tx
A
consider discharge
13
Q
PE - PERC rule positive tx
A
send to ER
14
Q
PE - when to refer to ER
3
A
- hemodynamic instability i.e. SBP <90
- PE cannot be r/o
- hypoxia
15
Q
pneumothorax
A
air in pleural space surrounding the lungs (spontaneous or traumatic)
