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Pulmonary Embolus (risk factors (recent surgery, thrombophilia, leg…
Pulmonary Embolus
risk factors
recent surgery
thrombophilia
leg fracture
prolonged bed rest
malignancy
pregnancy, pill, HRT
prev PE
symptoms
sudden onset SOB
central or pleuritic pain
haemoptysis
hypotension
collapse
signs
raised RR
often absent
signs of DVT
leg pain and swelling
pleural rub if infarcted lung
raised JVP
ECG changes
sinus tachycardia
RV strain
incomplete R bundle branch block
inverted T waves anteriorly
S1Q3T3
diagnosis
bloods: D dimer
R heart strain if large PE
ECG, CXR, CT pulm angiogram (clot products)
treatment
thrombolyse massive pe
LMWH 5d then DOAC
arise from venous thrombosis in pelvis or legs