clinical scenario
pt with rt leg swelling and tenderness.
hx of ovarian cancer with chemo.
-diagnosed with DVT, SC enoxaparin.
-came later with skin necrosis
HIT TYPE 2
A
Hamptons hUMP: pleural based infiltrate with apex towars the hilum
when you suspect PE, the ECG most likely to show S1Q3T3
WRONG.
SINUS TACHYCARDIA
- tachycardia
- previous DVT
-hemoptysis
-Immobolization
hemoptysis
salem, 73 years old jentleman admitted as a case of hemmorhgic stroke.
After 1 week, He became tachycardic and his saturation reaches 84%.
PE was suspected.
IVC filter
b
westermarks sign:
focus of oligemia
Most of patients with PE present with tacycardia.
wrong
only 30%
-cns bleeding
-melena
-menses
menses
lucky you
you got this
c
mcconnell sign:
rt ventricle free wall akinesis with sparing the apex.
in general, if the patient has low pretest probabilty with negative d dimer, no need to proseed with ct angio
true
you will take the point anyway
your luck is on fire