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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...
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...
Venous Thrombosis I: Introduction01:30

Venous Thrombosis I: Introduction

Venous thrombosis, the most common disorder of the veins, involves the formation of a thrombus or blood clot associated with vein inflammation. It can be classified as either superficial vein thrombosis or deep vein thrombosis.Superficial Vein Thrombosis: This involves the formation of a thrombus in a superficial vein, usually the greater or lesser saphenous vein. Though less severe than deep vein thrombosis (DVT), SVT can lead to complications if untreated.Deep Vein Thrombosis (DVT): This...
Pneumothorax-I01:26

Pneumothorax-I

A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.

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Related Experiment Video

Updated: Jun 4, 2026

A Porcine Model of Acute Autologous Pulmonary Embolism
07:44

A Porcine Model of Acute Autologous Pulmonary Embolism

Published on: September 6, 2024

[Pulmonary thromboembolism].

Adolfo Baloira Villar1, Luis Alberto Ruiz Iturriaga

  • 1Servicio de Neumología, Complejo Hospitalario de Pontevedra, Pontevedra, España. adolfo.baloira.villar@sergas.es

Archivos De Bronconeumologia
|February 15, 2011
PubMed
Summary
This summary is machine-generated.

Pulmonary thromboembolism diagnosis and management are critical in emergency departments. Utilizing clinical data, D-dimer tests, and imaging like CT angiography aids in assessing severity and guiding immediate heparin treatment, with thrombolysis for high-risk cases.

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Last Updated: Jun 4, 2026

A Porcine Model of Acute Autologous Pulmonary Embolism
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In Vitro Microfluidic Disease Model to Study Whole Blood-Endothelial Interactions and Blood Clot Dynamics in Real-Time
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In Vitro Microfluidic Disease Model to Study Whole Blood-Endothelial Interactions and Blood Clot Dynamics in Real-Time

Published on: May 24, 2020

Area of Science:

  • Emergency Medicine
  • Cardiology
  • Radiology

Background:

  • Pulmonary thromboembolism is a common emergency department diagnosis.
  • Accurate diagnosis presents significant challenges.
  • Effective management strategies are essential.

Purpose of the Study:

  • To outline diagnostic and management strategies for pulmonary thromboembolism.
  • To emphasize the role of clinical assessment, laboratory tests, and imaging.
  • To highlight risk stratification and treatment protocols.

Main Methods:

  • Clinical information gathering.
  • Laboratory testing, including D-dimer assays.
  • Imaging modalities such as computed tomography (CT) angiography, ventilation-perfusion scintigraphy, and echocardiography.
  • Application of risk scores like the Pulmonary Embolism Severity Index (PESI).

Main Results:

  • Integrated data from clinical assessment, D-dimer, and imaging establish probability and severity.
  • The PESI score demonstrates high sensitivity for predicting mortality.
  • Immediate heparin therapy is recommended, with low molecular weight heparin as a common choice.
  • Thrombolytic therapy is indicated for high-risk patients after contraindication assessment.

Conclusions:

  • A multi-faceted approach combining clinical, laboratory, and imaging data is crucial for pulmonary thromboembolism diagnosis.
  • Risk stratification tools like PESI are vital for predicting outcomes.
  • Timely and appropriate treatment, including anticoagulation and potentially thrombolysis, improves patient prognosis.