DVT complete diagnostic approach resident survival guide: Difference between revisions
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{{familytree/start |summary=PE diagnosis Algorithm.}} | {{familytree/start |summary=PE diagnosis Algorithm.}} | ||
{{familytree | | | | | | | | GMa | GMa='''Assess the pretest probability of PE'''}} | {{familytree | | | | | | | | GMa | GMa='''Assess the pretest probability of PE using the [[modified Wells criteria]]'''}} | ||
{{familytree | | | | |,|-|-|-|^|-|-|-|-|.| | | }} | {{familytree | | | | |,|-|-|-|^|-|-|-|-|.| | | }} | ||
{{familytree | | |JOE| | | | | | | |SIS| | | JOE='''Low pretest probability of PE'''|SIS='''High pretest probability of PE'''}} | {{familytree | | |JOE| | | | | | | |SIS| | | JOE='''Low pretest probability of PE'''|SIS='''High pretest probability of PE'''}} | ||
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{{familytree | | |MOM| | | | | | | | |!| |MOM='''Order [[D-dimer]]'''}} | {{familytree | | |MOM| | | | | | | | |!| |MOM='''Order [[D-dimer]]'''}} | ||
{{familytree | |,|-|^|.| | | | | | | | |!| }} | {{familytree | |,|-|^|.| | | | | | | | |!| }} | ||
{{familytree |GPa| |JOE|~|~|~|~|~|MOM|GPa='''Normal D-dimer (<500 ng/ml)'''|JOE='''Elevated D-dimer (>500 ng/ml)'''|MOM='''Order [[Pulmonary embolism other imaging findings#Angiography|CT | {{familytree |GPa| |JOE|~|~|~|~|~|MOM|GPa='''Normal D-dimer (<500 ng/ml)'''|JOE='''Elevated D-dimer (>500 ng/ml)'''|MOM='''Order [[Pulmonary embolism other imaging findings#Angiography|CT pulmonary angiography]]'''<br> OR <br> V/Q scan}} | ||
{{familytree | |!| | | | | | | | | |,|-|^|.| }} | {{familytree | |!| | | | | | | | | |,|-|^|.| }} | ||
{{familytree |MOM| | | | | | |SIS| | |GMa|MOM='''PE is excluded'''|SIS=Negative|GMa=Positive}} | {{familytree |MOM| | | | | | |SIS| | |GMa|MOM='''PE is excluded'''|SIS=Negative|GMa=Positive}} | ||
Revision as of 13:04, 9 May 2014
| Assess the pretest probability of PE using the modified Wells criteria | |||||||||||||||||||||||||||||||||
| Low pretest probability of PE | High pretest probability of PE | ||||||||||||||||||||||||||||||||
| Order D-dimer | |||||||||||||||||||||||||||||||||
| Normal D-dimer (<500 ng/ml) | Elevated D-dimer (>500 ng/ml) | Order CT pulmonary angiography OR V/Q scan | |||||||||||||||||||||||||||||||
| PE is excluded | Negative | Positive | |||||||||||||||||||||||||||||||
| PE is excluded | PE is confirmed | ||||||||||||||||||||||||||||||||