Thormboembolic Disease Flashcards
Thromboembolic Disease
DVT
PE
PE
Pulmonary Embolism
Blockage of pulmonary artery by a blood clot, fat, tumour or air
Pulmonary Infarction
If blood flow and oxygen to lung disease is compromised, lung tissue may die
DVT
Deep Vein Thrombosis
Proximal DVT
Ileo-femoral
Likely to embolise
Distal DVT
Polpiteal
Least likely to embolise
Investigation of DVT
Ultrasound Doppler Leg Scan
CT
PE Presentation
Large cardiovascular shock Low BP Central cyanosis Sudden death Pleuritic pain Haemoptysis Breathlessness Pulmonary Hypertension
Risk factors for DVT and PE
Contraceptive pill Pelvic obstruction Trauma Surgery Immobility Malignancy Obesity Pulmonary Hypertension Vasculitis
Prevention of DVR
Early post-op mobilisation Compression stockings Calf muscle exercises Subcutaneous low dose low mol wt heparin Oral anticoagulant
History of Presenting Complaint
SOB Pleuritic Chest Pain Haemoptysis Leg pain/swelling Collapse Sudden deth
PESI
Pulmonary Embolism Severity Scale
PE ECG
Acute right heart strain pattern
T inversion in V1-V3
Treatment of DVT/PE
Anticoagulant
Low mol wt heparin
Warfarin
Causes of Pulmonary Hypertension
Left ventricular systolic dysfunction
Mitral Regurgitation/stenosis
Cardiomyopathy