Pulmonary Embolism: Diagnostic Approach and Algorithm

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ECG: Not specific Tachycardia Axis deviation Right bundle branch block S1Q3T3 pattern D‐Dimer: ECG <strong>and</strong> D‐Dimer Good sensitivity but poor specificity Best to use this in conjunction with clinical probability.
We have discussed the preliminary tests that are usually obtained in evaluating a patient with a PE. Now we will discuss the main diagnostic imaging modalities for PE.
Page 1 and 2: Pulmonary Embolism…..Diagnostic A
Page 3 and 4: Pathophysiology of PE In Acute PE:
Page 5 and 6: Risk factors Thrombosis Virchow’s
Page 7 and 8: Menu of Tests Chest X‐Ray (CXR)
Page 9 and 10: Companion Patient #1: CXR with Disc
Page 11: http://www.imagingpathways.health.w
Page 15 and 16: We will see images of the CT findin
Page 17 and 18: Why Should We Take Non Contrast Ima
Page 19 and 20: Ventilation Perfusion (VQ) Scan No
Page 21 and 22: Companion Patient #4 with Abnormal
Page 23 and 24: As previously mentioned lower extre
Page 25 and 26: PACS, BIDMC Companion Patient # 6:
Page 27 and 28: Interim Summary We have spoken abo
Page 29 and 30: PACS, BIDMC Our patient: Normal CXR
Page 31 and 32: Our patient: Emboli in Segmental Br
Page 33 and 34: Our patient: Enlargement of Pulmona
Page 35 and 36: PACS, BIDMC Our patient: Reflux int
Page 37 and 38: Our Patient’s course The patient
Page 39 and 40: Acknowledgments Veronica Fernandes

Pulmonary Embolism: Diagnostic Approach and Algorithm

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