Pulmonary embolism compression ultrasonography: Difference between revisions
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'''Editor(s)-In-Chief:''' {{ATI}}, [[C. Michael Gibson, M.S., M.D.]] [mailto:mgibson@perfuse.org]; {{AE}} {{CZ}} | '''Editor(s)-In-Chief:''' {{ATI}}, [[C. Michael Gibson, M.S., M.D.]] [mailto:mgibson@perfuse.org]; {{AE}} {{CZ}} | ||
==Overview== | |||
Compression ultrasound of the lower extremities is not a [[sensitivity (tests)|sensitive]] test for a PE, but can help with the diagnosis and with a treatment plan. | Compression ultrasound of the lower extremities is not a [[sensitivity (tests)|sensitive]] test for a PE, but can help with the diagnosis and with a treatment plan. | ||
==Compression Ultrasonography== | |||
*''[[medical ultrasound|Compression Ultrasonography]] '', also known as a doppler of the legs is used to evaluate for a [[deep venous thrombosis]] (DVT) of the lower extremities, which can lead to the development of a pulmonary embolism. The presence of a [[deep venous thrombosis|DVT]] shown by [[ultrasonography]] is enough to warrant anticoagulation without requiring further V/Q or spiral CT scans. This is due to the strong association between DVT and PE. Using compression ultrasonography may also be a preferred method of evaluation during [[pregnancy]], in which the other modalities would increase the risk of birth defects due to radiation exposure. A negative doppler scan does not rule out a pulmonary embolism, and low-radiation dose scanning may be required for a pregnant patient to further evaluate for PE. | *''[[medical ultrasound|Compression Ultrasonography]] '', also known as a doppler of the legs is used to evaluate for a [[deep venous thrombosis]] (DVT) of the lower extremities, which can lead to the development of a pulmonary embolism. The presence of a [[deep venous thrombosis|DVT]] shown by [[ultrasonography]] is enough to warrant anticoagulation without requiring further V/Q or spiral CT scans. This is due to the strong association between DVT and PE. Using compression ultrasonography may also be a preferred method of evaluation during [[pregnancy]], in which the other modalities would increase the risk of birth defects due to radiation exposure. A negative doppler scan does not rule out a pulmonary embolism, and low-radiation dose scanning may be required for a pregnant patient to further evaluate for PE. | ||
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Revision as of 16:08, 9 October 2012
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Pulmonary Embolism Microchapters |
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Diagnosis |
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Pulmonary Embolism Assessment of Probability of Subsequent VTE and Risk Scores |
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Treatment |
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Follow-Up |
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Special Scenario |
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Trials |
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Case Studies |
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Pulmonary embolism compression ultrasonography On the Web |
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Directions to Hospitals Treating Pulmonary embolism compression ultrasonography |
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Risk calculators and risk factors for Pulmonary embolism compression ultrasonography |
Editor(s)-In-Chief: The APEX Trial Investigators, C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Cafer Zorkun, M.D., Ph.D. [2]
Overview
Compression ultrasound of the lower extremities is not a sensitive test for a PE, but can help with the diagnosis and with a treatment plan.
Compression Ultrasonography
- Compression Ultrasonography , also known as a doppler of the legs is used to evaluate for a deep venous thrombosis (DVT) of the lower extremities, which can lead to the development of a pulmonary embolism. The presence of a DVT shown by ultrasonography is enough to warrant anticoagulation without requiring further V/Q or spiral CT scans. This is due to the strong association between DVT and PE. Using compression ultrasonography may also be a preferred method of evaluation during pregnancy, in which the other modalities would increase the risk of birth defects due to radiation exposure. A negative doppler scan does not rule out a pulmonary embolism, and low-radiation dose scanning may be required for a pregnant patient to further evaluate for PE.