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Pulmonary Embolism

20 snips
Apr 7, 2025
Dr. Allison Greco, a pulmonary and critical care specialist at Bellevue Hospital and assistant professor at NYU, dives into the complexities of pulmonary embolism. She discusses the alarming case of a post-hip surgery patient and the crucial importance of prompt recognition and treatment. Risk factors and effective diagnostic methods are emphasized, alongside tailored treatment strategies for varying patient risk profiles. Finally, she highlights the significance of thorough discharge planning and medication management for ongoing care.
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INSIGHT

PE definition

  • A pulmonary embolism (PE) is a blood clot traveling from the veins to the pulmonary arteries.
  • The severity varies based on clot location and its impact on heart pressure.
INSIGHT

PE Risk Factors

  • Virchow's triad (stasis, hypercoagulability, endothelial injury) explains PE pathophysiology.
  • Consider factors like immobility, genetics, and recent trauma or infections.
ADVICE

Questions to Ask

  • Ask patients about family history, pregnancy, medications, and lifestyle.
  • Inquire about jobs involving prolonged sitting or immobility like truck drivers.
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