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Related Concept Videos

Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care01:29

Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care

Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
Radiological Investigation III: Pulmonary Angiogram and PET Scan01:13

Radiological Investigation III: Pulmonary Angiogram and PET Scan

Radiological investigations are paramount in the diagnosis and management of various pulmonary diseases. Two essential investigations are the Pulmonary Angiogram and the Positron Emission Tomography (PET) Scan.
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
Pulmonary Embolism I: Introduction01:29

Pulmonary Embolism I: Introduction

Pulmonary embolism (PE) occurs when a thrombus, fat or air embolus, amniotic fluid, or tumor tissue blocks one or more pulmonary arteries. These blockages originate in the venous system or the right side of the heart.EtiologyPE primarily arises from deep vein thrombosis (DVT) and other hypercoagulable states, such as inherited thrombophilias. Additional etiological factors include venous stasis, commonly seen in obesity, and endothelial injury from surgery and trauma. Less common causes include...
Pulmonary Embolism I: Introduction01:19

Pulmonary Embolism I: Introduction

A blood clot, or thrombus, is a semi-solid mass composed of fibrin, platelets, and red blood cells. When it forms within a vessel, it can obstruct blood flow, known as thrombosis. If part of the clot detaches, it becomes an embolus that can travel and block distant vessels. When this occurs in the pulmonary arteries, it causes a condition known as pulmonary embolism (PE).Origin and ImpactMost often, the embolus originates from a thrombus in the deep veins of the lower limbs, a condition called...
Pulmonary Embolism III: Nursing Management01:27

Pulmonary Embolism III: Nursing Management

A pulmonary embolism occurs when a thrombus, amniotic fluid, tumor tissue, fat, or air embolus blocks one or more pulmonary arteries. Effective nursing management and patient education are crucial for improving outcomes and preventing recurrence.Nursing management starts with obtaining a comprehensive patient history, particularly noting any history of deep vein thrombosis (DVT). Assess for clinical manifestations, including dyspnea, chest pain, crackles, heart murmurs, and signs of right-sided...
Radiological Investigation II: MRI and Ventilation Perfusion Scan01:30

Radiological Investigation II: MRI and Ventilation Perfusion Scan

Description
Magnetic Resonance Imaging (MRI) and Ventilation Perfusion Scans are two radiological investigations that offer detailed diagnostic images of the body, particularly lung structures.
MRI
MRI uses magnetic fields and radiofrequency signals to distinguish between normal and abnormal tissues. This technology provides a more detailed diagnostic image than CT scans, enabling it to characterize pulmonary nodules, stage bronchogenic carcinoma, and evaluate inflammatory activity in...

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A Porcine Model of Acute Autologous Pulmonary Embolism
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Pulmonary embolism: optimizing the diagnostic imaging approach.

Luis Antonio Sosa Lozano1, Lawrence R Goodman, Kaushik Shahir

  • 1Department of Radiology, Medical College of Wisconsin, Milwaukee, WI 53226-3596, USA. lsosalozano@mcw.edu

Hospital Practice (1995)
|October 5, 2010
PubMed
Summary
This summary is machine-generated.

Diagnosing venous thromboembolism involves assessing clinical probability, D-dimer levels, and imaging. Computed tomography angiography is the primary imaging tool, though other methods are needed for specific patient groups.

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Point-of-Care Lung Ultrasound in Adults: Image Acquisition
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Point-of-Care Lung Ultrasound in Adults: Image Acquisition

Published on: March 3, 2023

Area of Science:

  • Medical Diagnostics
  • Cardiovascular Medicine
  • Radiology

Background:

  • Venous thromboembolism (VTE) is a prevalent medical condition with diverse clinical presentations.
  • Accurate diagnosis of VTE is crucial for effective patient management.
  • Current diagnostic strategies combine clinical assessment, laboratory tests, and imaging.

Purpose of the Study:

  • To review the diagnostic approach to venous thromboembolism.
  • To highlight the role of imaging modalities in VTE diagnosis.
  • To discuss the utility of computed tomography angiography and other imaging techniques.

Main Methods:

  • Review of current diagnostic guidelines and literature on venous thromboembolism.
  • Emphasis on the integration of pretest clinical probability, D-dimer testing, and imaging.
  • Discussion of various imaging modalities, including computed tomography angiography.

Main Results:

  • The diagnostic pathway for VTE typically involves a stepwise approach.
  • Computed tomography angiography is the most common imaging modality for diagnosing pulmonary embolism and deep vein thrombosis.
  • Specific patient subpopulations may require alternative or additional imaging techniques.

Conclusions:

  • A comprehensive diagnostic strategy is essential for timely and accurate VTE diagnosis.
  • Computed tomography angiography remains a cornerstone of VTE imaging, but its limitations necessitate consideration of other modalities.
  • Tailoring imaging choices to individual patient characteristics is critical for optimal diagnostic yield.