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Pulmonary Embolism: Difference between revisions
→Imaging
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Tests that are frequently done that are not sensitive for PE, but can be diagnostic. | Tests that are frequently done that are not sensitive for PE, but can be diagnostic. | ||
*''Chest X-rays'' are often done on patients with shortness of breath to help rule-out other causes, such as congestive heart failure and rib fracture. Chest X-rays in PE are rarely normal, <cite>REFNAME20</cite> but usually lack signs that suggest the diagnosis of PE (e.g. Westermark sign, Hampton's hump). | *''Chest X-rays'' are often done on patients with shortness of breath to help rule-out other causes, such as congestive heart failure and rib fracture. Chest X-rays in PE are rarely normal, <cite>REFNAME20</cite> but usually lack signs that suggest the diagnosis of PE (e.g. Westermark sign, Hampton's hump). | ||
*''Ultrasonography of the legs'', also known as ''leg doppler'', in search of deep venous thrombosis (DVT). The presence of DVT, as shown on ultrasonography of the legs, is in itself enough to warrant anticoagulation, without requiring the V/Q or spiral CT scans (because of the strong association between DVT and PE). This may be valid approach in pregnancy, in which the other modalities would increase the risk of birth defects in the unborn child. However, a negative scan does not rule out PE, and low-radiation dose scanning may be required if the mother is deemed at high risk of having pulmonary embolism. | *''Ultrasonography of the legs'', also known as ''leg doppler'', in search of deep venous thrombosis (DVT). The presence of DVT, as shown on ultrasonography of the legs, is in itself enough to warrant anticoagulation, without requiring the V/Q or spiral CT scans (because of the strong association between DVT and PE). This may be valid approach in pregnancy, in which the other modalities would increase the risk of birth defects in the unborn child. However, a negative scan does not rule out PE, and low-radiation dose scanning may be required if the mother is deemed at high risk of having pulmonary embolism. | ||
===Electrocardiogram=== | ===Electrocardiogram=== | ||