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64 YEAR OLD FEMALE PATIENT I HUMAN CASE WEEK #9 CLASS 6550 REASON FOR ENCOUNTER ;SHORTNESS OF BREATH AND FEELING FAINT LATEST ACTUAL SCREENSHOT

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What is a PE? - answer-A blood clot (thrombus) in the pulmonary artery What is a venous thromboembolism? - answer-DVT and PE First line investigation for PE? - answer-CXR D-dimer Likely PE and unlikely PE investigation? - answer-Likely - CTPA D-dimer and if positive do CTPA What are the risk factors? - answer-Immobility Recent surgery Long haul travel Pregnancy

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64 YEAR OLD FEMALE PATIENT I HUMAN CASE

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May 14, 2025
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Written in
2024/2025
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64 YEAR OLD FEMALE PATIENT I HUMAN CASE
WEEK #9 CLASS 6550 REASON FOR ENCOUNTER
;SHORTNESS OF BREATH AND FEELING FAINT
LATEST ACTUAL SCREENSHOT




What is a PE? - answer-A blood clot (thrombus) in the pulmonary artery



What is a venous thromboembolism? - answer-DVT and PE



First line investigation for PE? - answer-CXR

D-dimer



Likely PE and unlikely PE investigation? - answer-Likely - CTPA



D-dimer and if positive do CTPA




What are the risk factors? - answer-Immobility

Recent surgery

Long haul travel

Pregnancy

, Hormone therapy with oestrogen (combined pill)

Malignancy

Polycythaemia (raised haemoglobin)

Systemic lupus erythematosus

Thrombophilia



What is given to high risk VTE patients? - answer-VTE prophylaxis - low
molecular weight heparin (e.g. enoxaparin)



What are the contraindications for LMWH? - answer-Active bleeding

Existing anticoagulation with warfarin or DOAC



What else can be given? - answer-Anti-embolic compression stockings



Contraindication for that? - answer-Peripheral arterial disease



Presentation: - answer-Shortness of breath

Cough

Haemoptysis

Pleuritic chest pain (sharp pain on inspiration)

Hypoxia

Tachycardia

Raised respiratory rate

Low grade fever

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