Pulmonary Vascular disease Flashcards
what percent of all hospital emmsions are pulmonary embolism
about 1%
where do thromoembolism occur
in veins in lung
what are teh risk factors for thromboembolism
trauma, surgury, cancer, significant cardiopulmonary diase, pregnancy, inherited trhombophilia
what are the sympones of pulmonary embolism in each stadge
- pleurticic chest pain, choug and heamoptysis,
- isolated acute dyspnoea,
- syncope or cardiac arrest
what are the signs of a pulmonary embolism in each stadge
- pyrexia, pleuar rub, stony dullness to percussoin at base
- tachycardia, tachypnoea, hypoxia,
- tachycardia, hypotensioh, tachypnoea, hypoxia
what do periphal pulmonary embolism look like on a ct
small half filled ovals
what scoring system is used for pulmoary embolism
wells abd geneaa scorea
What is the investigation for a pe
chst xray, ecg, d dimer, ct pulmary angiogram, v/q scan, echocardiography, ct abdomne and mammogrpay, throbophulaia testing
what is teh treatemtn for a pumonary embolism
dalteparin (heparin) and anticoagulands ( apixaban) , thrombolysis
what is the durgatio of treatment for a provoked pe
3 months
what is the duratio of treatments for an unprovoked pe
heamatology to asess anula risk of recurrence and consider life long anticoagulation
What is the prognosis of a pe
30 day mortioan from 0 to 25 percent deping on atine
what is pulmonary hypertension
elvated blood perssue in pulmary arterial treee
what cuase pumlmar hypertension
idopathy or secorar condtion to dease, secary to chronch respiary disae, chronic thromboembolic ph , sarcodoiss
what are the sympotsn of pulmonary hyypotension
exertiaon dysponea, chest tighness , exertioanl presypcop or syncope, haemoptysis
what are the signs of pulmary hypertension
elavated jvp, righ ventialar heave, loud pulmonary secondar heart sounds, hepatomegaly, ankle odeama
what is the investigation for pulomary hyperetnsion
ecg, lung fucntion tests, chest xray, echocardiogram, v/q sacn , ctpa , right heart catherisation,
what can pulomary hypertion look like on a chest x-ray
may see bigger shadow on pulmoary arteries
what is teh treatment for pulmonary hypertension
underlying conditon, o2, anticoaguoan, diurectivs
what is pulmoary hypertenson treatment
calcium channel antagoins, prostraldinds, proasti antagoin, endothelin recaptro antagion, lung transplant, thromboendarterectomy
