CRACKCast E088 Pulmonary Embolism and Deep Vein Thrombosis

This Episode covers Chapter 88 (or 78 in 9th edition) of Rosen's Emergency Medicine.

PE and DVT. Jeff Kline wrote this chapter, so you knows its a gooder! 

 

1. List 8 DDx for DVT
2. Describe management of superficial thrombophlebitis + isolated calf thrombosis
3. How is the d-dimer test used in the diagnosis of DVT?
4. List 8 causes of an elevated D-dimer
5. What are the Wells criteria for DVT? Describe how to use this score.
6. Describe diagnostic approach of suspected DVT
7. How is a proximal lower limb DVT managed?
8. What are the common causes of upper limb DVT?
9. How are upper limb DVTs managed?
10. List 10 classic risk factors for PE
11. What are the classifications of PE?
12. List 4 ECG + 2 CXR findings consistent with PE
13. What are the Wells criteria for PE? Describe how to use this score.
14. What is the PERC rule? How is it used?
15. Which imaging tests can be used to diagnose PE? List advantages and disadvantages of each.
16. List indications for thrombolysis in PE, what is the risk of ICH?
17. What are the absolute and relative contraindications for thrombolysis
18. List markers of poor prognosis in patients with PE.

 

Wisecracks:

 

• What is phlegmasia cerulea dolens? How is it managed?

 

 

 

• Which patients should have an IVC filter?

 

 

 

• What about PE/DVT in pregnancy?

 

 

 

• What is the cause of hypoxia in patients with PE? What causes chest pain? What causes hypotension?

 

 

 

• What is Paget-Schroetter Syndrome?