Pulmonary embolism and hypertension Flashcards
1
Q
Thromboembolic disease can be broken down into?
A
- Deep Venous Thrombosis
- Pulmonary Embolism
2
Q
What is a pulmonary embolism?
A
- blockage of the pulmonary artery, by fat, air, or a tumour
3
Q
What is pulmonary infarction?
A
- lung tissue death as a result of poor oxygen and blood flow
4
Q
Clinical presentation of a DVT?
A
- Swollen, hot, tender, red leg
5
Q
Differential Diagnosises of a DVT?
A
- Calf cellulitis
6
Q
Investigations into a DVT?
A
- ultrasound Doppler scan
- CT scan
7
Q
PE presentation
A
- low BP
- central cyanosis
- haemopytis
- breathlessness
- right heart failure
8
Q
Risk factors for a PE?
A
- Thrombophilia
- contraceptive pill
- pregnancy
- trauma
9
Q
Prevention of a DVT
A
- early post-op mobilisation
- TED compression stalkings
- Direct oral anticoagulation
- subcutaneous low does heparin
10
Q
What are the 2 scoring systems used for PE/DVT?
A
- Wells score
- Revised Geneva
11
Q
Investigations into a PE?
A
- V/Q
- CTPA
- Ultrasound
12
Q
High risk patient presents with a possible PE what is your first diagnosing investigation?
A
- CTPA
13
Q
Treatment of a PE?
A
- Anticoagulant
- low molecular weight heparin
- thrombolysis
14
Q
What is important to consider when administering warfarin?
A
- contra-indications
- monitior with INR
15
Q
Duration of treatment for an unprovoked high risk PE patient?
A
- 6 months
