DVT complete diagnostic approach resident survival guide

Suspected high-risk PE

{{{ A02 }}}

Is a CT available immediately?

{{{ B02}}}

No

Yes

Order echocardiography

Does the patient have RV overload?

{{{ E02 }}}

{{{ E03 }}}

No

Yes

Order CT

{{{ F04 }}}

Positive for PE

Negative for PE

{{{ G04 }}}

{{{ G05 }}}

Is the patient unstable OR no other tests are available?

Is the patient stabilized AND CT is now available?

{{{ H03 }}}

{{{ H04 }}}

{{{ H05 }}}

PE is excluded

Consider thrombolysis or embolectomy

Order CT

PE is confirmed

PE is excluded

{{{ I06 }}}

{{{ I07 }}}

{{{ I08 }}}

{{{ I09 }}}

Positive for PE

Negative for PE

PE is confirmed

PE is excluded