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afya
PulmonaryEmbolus
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<<forEachTiddler where 'tiddler.tags.contains(context.inTiddler.title)' sortBy tiddler.title ascending write '"*[["+tiddler.title+"]]\n"'>> <<tiddler AutoRefresh with: force>> ''Features'' - difficult to diagnose as variable Sx Classic triad - pleuritic chest pain, dyspnoea, haemoptysis - occurs in 10% pts frequency of signs .... Tachypnea (respiratory rate >16/min) - 96% Crackles - 58% Tachycardia (heart rate >100/min) - 44% (used by Wells - not tachypnoea Fever (temperature >37.8°C) - 43% ''manage ...'' Hx Ex CXR ... if PE suspected do ''Wells score'' (use MDcalc) If PE 'likely' (>4) do CTPA - with LMWH if delay If PE 'unlikely' (<=4) do D-dimer If D dimer positive do CTPA - with LMWH if delay If allergy to contrast media or renal impairment do V/Q not CTPA.
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