Pulmonary Embolus Algorithm

This video explains the complete workup, and management of Pulmonary Embolus. This was done with a lot of research, and is an often times disputed topic, so please comment if you have any problems with the information. ENJOY!!

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[munam87]

nobody does a v/q scan for acute PE. you do a spiral ct, doesn matter if x-ray is normal. for chronic PE v/q scan is used. nobody does angiograms, hardly ever done, and its never the right answer on an exam.

[doctor25ba]

thank you soooooooo much ...its realy a great video

[thyroidnodule]

I also wonder where is the role of D-dimer. We use it a lot to exclude PE. Sometimes we do D dimer first, if it's normal, no further PE workup. In our clinic setting, V/Q scan not often done, b/c it requires NL lung, most of pt at PE age has COPD, asthma or pulmonary hypertension d/t sleep apnea. So most of the time we do chest CT to see PE.

[drskbr]

Thanks for the detailed clarification. I looked up in master the boards and you're right it clearly states that Spiral CT is the test of choice if CXR is abnormal.

[josephmedman]

It wont let me post the link it keeps saying "error" but if you look at this link and take out the spaces you will see another source outside of uptodate. e m e d i c i n e . m e d s c a p e . c o m / a r t i c l e / 3 6 1 1 3 1 - o v e r v i e w

[josephmedman]

I think your sources are antiquated. CT is only 86% sensitive for proximal emboli and 63% sensitive for subsegmental vessels and is therefore not the 1st line, however the only disadvantage of VQ scan is that it tends to miss peripheral emboli, however it is still preferred. My source is uptodate.

[pulsusalterans]

thank you very much! you cleared up my dilemma about when to do spiral CT vs V/Q scan.

[vamsimosalikanti]

excellent dude keep up d good work

[usmleable]

is there a book with all you videos.

[abhinav4parikh]

great job mate

you r doing a wonder fll job

i am thank ful to you

i you need any kinf=d of help in this work i will be more then willing to help

i am at present waiting for match result

thank you again