Pulmonary embolism diagnostic approach: Difference between revisions
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__NOTOC__ | |||
{{CMG}} | |||
==Overview== | |||
The diagnostic approach to pulmonary embolism requires the initial assessment of the pretest probability of the disease according to the [[modified Wells score]]. | |||
==Diagnosis Algorithm== | |||
{{familytree/start |summary=PE diagnosis Algorithm.}} | |||
{{familytree | | | | | | | | GMa | GMa='''Assess the pretest probability of PE'''<br> ''''using the [[modified Wells criteria]]'''}} | |||
{{familytree | | | | |,|-|-|-|^|-|-|-|-|.| | | }} | |||
{{familytree | | |JOE| | | | | | | |SIS| | | JOE='''Low pretest probability of PE'''|SIS='''High pretest probability of PE'''}} | |||
{{familytree | | | |!| | | | | | | | | |!| }} | |||
{{familytree | | |MOM| | | | | | | | |!| |MOM='''Order [[D-dimer]]'''}} | |||
{{familytree | |,|-|^|.| | | | | | | | |!| }} | |||
{{familytree |GPa| |JOE|~|~|~|~|~|MOM|GPa='''Normal D-dimer (<500 ng/ml)'''|JOE='''Elevated D-dimer (>500 ng/ml)'''|MOM='''Order [[Pulmonary embolism other imaging findings#Angiography|CT pulmonary angiography]]'''}} | |||
{{familytree | |!| | | | | | | | | |,|-|^|.| }} | |||
{{familytree |MOM| | | | | | |SIS| | |GMa|MOM='''PE is excluded'''|SIS=Negative|GMa=Positive}} | |||
{{familytree | | | | | | | | | | |!| | | | |!| }} | |||
{{familytree | | | | | | | | | |SIS| | |GMa|SIS='''PE is excluded'''|GMa='''PE is confirmed'''}} | |||
{{familytree/end}} | |||
==References== | |||
{{Reflist|2}} | |||
[[Category:Hematology]] | |||
[[Category:Pulmonology]] | |||
[[Category:Cardiology]] | |||
[[Category:Emergency medicine]] | |||
[[Category:Intensive care medicine]] | |||
[[Category:Primary care]] | |||
{{WH}} | |||
{{WS}} | |||
Revision as of 13:14, 9 May 2014
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
The diagnostic approach to pulmonary embolism requires the initial assessment of the pretest probability of the disease according to the modified Wells score.
Diagnosis Algorithm
| Assess the pretest probability of PE 'using the modified Wells criteria | |||||||||||||||||||||||||||||||||
| Low pretest probability of PE | High pretest probability of PE | ||||||||||||||||||||||||||||||||
| Order D-dimer | |||||||||||||||||||||||||||||||||
| Normal D-dimer (<500 ng/ml) | Elevated D-dimer (>500 ng/ml) | Order CT pulmonary angiography | |||||||||||||||||||||||||||||||
| PE is excluded | Negative | Positive | |||||||||||||||||||||||||||||||
| PE is excluded | PE is confirmed | ||||||||||||||||||||||||||||||||