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The pulmonary embolism rule-out criteria (PERC) helps assess people in whom pulmonary embolism is suspected, but unlikely. Unlike the Wells score and Geneva score , which are clinical prediction rules intended to risk stratify people with suspected PE, the PERC rule is designed to rule out the risk of PE in people when the physician has already ...
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 ...
Rose created the first version of UpToDate, in his house in 1992. It was released on floppy disks . In October 2017, more than 1.3 million clinicians in 187 countries have consulted UpToDate 's website and mobile apps, with viewings of more than 32 million topics per month.
Lung infarction or pulmonary infarction occurs when an artery to the lung becomes blocked and part of the lung dies. [1] It is most often caused by a pulmonary embolism.. Because of the dual blood supply to the lungs from both the bronchial circulation and the pulmonary circulation, this tissue is more resistant to infarction.
This will form a pulmonary embolism that will result in a blockage of the main artery of the lung and can be a complication of deep-vein thrombosis. The most common sites of origin of pulmonary emboli are the femoral veins. The deep veins of the calf are the most common sites of actual thrombi. [citation needed]
Right heart strain can be caused by pulmonary hypertension, [3] pulmonary embolism (or PE, which itself can cause pulmonary hypertension [4]), RV infarction (a heart attack affecting the RV), chronic lung disease (such as pulmonary fibrosis), pulmonic stenosis, [5] bronchospasm, and pneumothorax.
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
PTEs are done for chronic pulmonary embolism, thrombectomies for severe acute pulmonary embolism. PTEs are generally considered a very effective treatment, surgical thrombectomies are an area of some controversy and their effectiveness a matter of some debate in the medical community.