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The idea for Professional Engineers Day came from Tim Austin, PE, a professional engineer from Kansas who served as president of the National Society of Professional Engineers in 2015–16.
The UpToDate system is an evidence-based clinical resource. It includes a collection of medical and patient information, access to Lexicomp drug monographs and drug-to-drug interactions, and a number of medical calculators. UpToDate is written by over 7,100 physician authors, editors, and peer reviewers. It is available both via the Internet ...
Pulmonary embolism (PE) is a blockage of an artery in the lungs by a substance that has moved from elsewhere in the body through the bloodstream . [6] Symptoms of a PE may include shortness of breath , chest pain particularly upon breathing in, and coughing up blood . [ 1 ]
A pulmonary embolism (PE) occurs when a blood clot from a deep vein (a DVT) detaches from a vein , travels through the right side of the heart, and becomes lodged as an embolus in a pulmonary artery that supplies deoxygenated blood to the lungs for oxygenation. [28] Up to one-fourth of PE cases are thought to result in sudden death. [12]
NPPE develops as a result of significant negative pressure generated in the chest cavity by inspiration against an upper airway obstruction. These negative pressures in the chest lead to increase venous supply to the right side of the heart while simultaneously creating more resistance for the left side of the heart to supply blood to the rest of the body (). [4]
Symptoms generally begin within a day. [1] This may include a petechial rash, decreased level of consciousness, and shortness of breath. [1] Other symptoms may include fever and decreased urine output. [2] The risk of death is about 10%. [2] Fat embolism most commonly occurs as a result of fractures of bones such as the femur or pelvis.
It is termed "paradoxical" because venous emboli will usually be lodged in pulmonary artery in an event called pulmonary embolism, instead of systemic circulation. Pathophysiology [ edit ]
Wells score for PE [3] Variable Points Clinical signs and symptoms of DVT 3 An alternate diagnosis is less likely than PE 3 Heart rate >100 1.5 Immobilization or surgery in the previous 4 weeks 1.5 Previous DVT / PE 1.5 Hemoptysis 1 Malignancy (treatment currently, in the previous 6 months, or palliative) 1