DVT complete diagnostic approach resident survival guide: Difference between revisions
Jump to navigation
Jump to search
Rim Halaby (talk | contribs) No edit summary |
Rim Halaby (talk | contribs) No edit summary |
||
| Line 2: | Line 2: | ||
{{familytree | | | | | | | | | | | A01 | | | | | | | | | | | | A01= Assess the severity of pulmonary embolism}} | {{familytree | | | | | | | | | | | A01 | | | | | | | | | | | | A01= Assess the severity of pulmonary embolism}} | ||
{{familytree | | | |,|-|-|-|-|-|-|-|+|-|-|-|-|-|-|-|.| | | | | }} | {{familytree | | | |,|-|-|-|-|-|-|-|+|-|-|-|-|-|-|-|.| | | | | }} | ||
{{familytree | | | B01 | | | | | | B02 | | | | | | B03 | | | | B01= High <br> Shock <br> AND/OR <br> Hypotension| B02= Intermediate <br> Right ventricular dysfunction <br> AND/OR <br> Myocardial injury| B03= Low <br> No shock <br> No hypotension <br> No right ventricular dysfunction <br> No myocardial injury}} | {{familytree | | | B01 | | | | | | B02 | | | | | | B03 | | | | B01= '''High''' <br> Shock <br> AND/OR <br> Hypotension| B02= '''Intermediate''' <br> Right ventricular dysfunction <br> AND/OR <br> Myocardial injury| B03= '''Low''' <br> No shock <br> No hypotension <br> No right ventricular dysfunction <br> No myocardial injury}} | ||
{{familytree | | | |!| | | | | | | |!| | | | | | | |!| | | | | }} | {{familytree | | | |!| | | | | | | |!| | | | | | | |!| | | | | }} | ||
{{familytree | | | C01 | | | | | | C02 | | | | | | C03 | | | | C01= Is there any contraindication for fibrinolytic therapy?| C02= Is there any contraindication for anticoagulation therapy?| C03= Is there any contraindication for anticoagulation therapy?}} | {{familytree | | | C01 | | | | | | C02 | | | | | | C03 | | | | C01= Is there any contraindication for fibrinolytic therapy?| C02= Is there any contraindication for anticoagulation therapy?| C03= Is there any contraindication for anticoagulation therapy?}} | ||
| Line 8: | Line 8: | ||
{{familytree | D01 | | D02 | | D03 | | D04 | | D05 | | D06 | | D01= NO| D02= YES| D03= NO|D04= YES| D05= NO| D06= YES}} | {{familytree | D01 | | D02 | | D03 | | D04 | | D05 | | D06 | | D01= NO| D02= YES| D03= NO|D04= YES| D05= NO| D06= YES}} | ||
{{familytree | |!| | | |!| | | |!| | | |!| | | |!| | | |!| | | }} | {{familytree | |!| | | |!| | | |!| | | |!| | | |!| | | |!| | | }} | ||
{{familytree | E01 | | E02 | | E03 | | E04 | | E05 | | E06 | | E01= Fibrinolytic therapy| E02= | E03= Anticoagulation therapy |E04= IVC filter| E05= Anticoagulation therapy| E06= IVC filter}} | {{familytree | E01 | | E02 | | E03 | | E04 | | E05 | | E06 | | E01= Fibrinolytic therapy| E02= Surgical pulmonary embolectomy <br> OR <br> Percutaneous catheter embolectomy| E03= Anticoagulation therapy <br> AND <br> Early discharge|E04= IVC filter <br> AND <br> Early discharge/home treatment| E05= Anticoagulation therapy<br> AND <br> Ward admission| E06= IVC filter <br> AND <br> Ward admission}} | ||
{{familytree | | | | | | | | | | |!| |!| | | | }} | {{familytree | | | | | | | | | | |!| |!| | | | }} | ||
{{familytree | | | | | | | | | | | F01 | | | | F01= }} | {{familytree | | | | | | | | | | | F01 | | | | F01= Does the patient fail to improve or develop cardiogenic shock or hypotension?}} | ||
{{familytree | | | | | | | | | | | |!| | | | | }} | {{familytree | | | | | | | | | | | |!| | | | | }} | ||
{{familytree | | | | | | | | | | | G01 | | | | G01= Is there any contraindication for fibrinolytic therapy?}} | {{familytree | | | | | | | | | | | G01 | | | | G01= Is there any contraindication for fibrinolytic therapy?}} | ||
{{familytree | | | | | | | | | |,|-|^|-|.| | | }} | {{familytree | | | | | | | | | |,|-|^|-|.| | | }} | ||
{{familytree | | | | | | | | | H01 | | H02 | | H01= | H02= }} | {{familytree | | | | | | | | | H01 | | H02 | | H01= NO| H02= YES}} | ||
{{familytree | | | | | | | | | | | | | | | | | }} | |||
{{familytree | | | | | | | | | I01 | | I02 | | I01=Fibrinolytic therapy| I02= Surgical pulmonary embolectomy <br> OR <br> Percutaneous catheter embolectomy}} | |||
{{familytree/end}} | {{familytree/end}} | ||
Revision as of 16:56, 9 May 2014
seve
| Assess the severity of pulmonary embolism | |||||||||||||||||||||||||||||||||||||||||||||||||
| High Shock AND/OR Hypotension | Intermediate Right ventricular dysfunction AND/OR Myocardial injury | Low No shock No hypotension No right ventricular dysfunction No myocardial injury | |||||||||||||||||||||||||||||||||||||||||||||||
| Is there any contraindication for fibrinolytic therapy? | Is there any contraindication for anticoagulation therapy? | Is there any contraindication for anticoagulation therapy? | |||||||||||||||||||||||||||||||||||||||||||||||
| NO | YES | NO | YES | NO | YES | ||||||||||||||||||||||||||||||||||||||||||||
| Fibrinolytic therapy | Surgical pulmonary embolectomy OR Percutaneous catheter embolectomy | Anticoagulation therapy AND Early discharge | IVC filter AND Early discharge/home treatment | Anticoagulation therapy AND Ward admission | IVC filter AND Ward admission | ||||||||||||||||||||||||||||||||||||||||||||
| Does the patient fail to improve or develop cardiogenic shock or hypotension? | |||||||||||||||||||||||||||||||||||||||||||||||||
| Is there any contraindication for fibrinolytic therapy? | |||||||||||||||||||||||||||||||||||||||||||||||||
| NO | YES | ||||||||||||||||||||||||||||||||||||||||||||||||
| Fibrinolytic therapy | Surgical pulmonary embolectomy OR Percutaneous catheter embolectomy | ||||||||||||||||||||||||||||||||||||||||||||||||