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Questions and Answers
What typically indicates normal movement in the apex of the right ventricle in patients with pulmonary embolism?
What typically indicates normal movement in the apex of the right ventricle in patients with pulmonary embolism?
Which sign may be observed in the echocardiogram of a patient with pulmonary embolism?
Which sign may be observed in the echocardiogram of a patient with pulmonary embolism?
What role does echocardiography play in the context of pulmonary embolism?
What role does echocardiography play in the context of pulmonary embolism?
Which condition may echocardiography help to differentiate from pulmonary embolism?
Which condition may echocardiography help to differentiate from pulmonary embolism?
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What does a negative echocardiogram indicate in the context of pulmonary embolism?
What does a negative echocardiogram indicate in the context of pulmonary embolism?
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What does a negative CT angio indicate in the presence of high clinical suspicion?
What does a negative CT angio indicate in the presence of high clinical suspicion?
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What is one of the 3-point items included in Well's criterion for assessing DVT?
What is one of the 3-point items included in Well's criterion for assessing DVT?
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Which method is mentioned as an alternative in assessing perfusion?
Which method is mentioned as an alternative in assessing perfusion?
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Which condition must be considered with respect to gaining 3 points in Well's criterion?
Which condition must be considered with respect to gaining 3 points in Well's criterion?
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What should be considered when interpreting a negative CT angio?
What should be considered when interpreting a negative CT angio?
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Which of the following statements about Well's criterion is accurate?
Which of the following statements about Well's criterion is accurate?
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In clinical practice, which statement about Scan Perfusion is accurate?
In clinical practice, which statement about Scan Perfusion is accurate?
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What does a score of 3 points in Well's criterion indicate regarding the diagnosis of PTE?
What does a score of 3 points in Well's criterion indicate regarding the diagnosis of PTE?
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What is a critical point to remember about using CT angio in suspected embolism cases?
What is a critical point to remember about using CT angio in suspected embolism cases?
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Why is the evaluation of signs and symptoms critical in Well's criterion?
Why is the evaluation of signs and symptoms critical in Well's criterion?
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Which imaging technique is employed to visualize pulmonary vessels directly?
Which imaging technique is employed to visualize pulmonary vessels directly?
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What is a common finding on arterial gas analysis in a patient who has pulmonary embolism?
What is a common finding on arterial gas analysis in a patient who has pulmonary embolism?
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Which of the following is not a technique for assessing lung perfusion?
Which of the following is not a technique for assessing lung perfusion?
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What is the primary purpose of a CT lung angiography?
What is the primary purpose of a CT lung angiography?
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Which of the following can be a direct consequence of pulmonary embolism as observed in arterial gas analysis?
Which of the following can be a direct consequence of pulmonary embolism as observed in arterial gas analysis?
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What substance is released from a clot that causes vasoconstriction?
What substance is released from a clot that causes vasoconstriction?
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What effect does vasoconstriction have on blood vessels?
What effect does vasoconstriction have on blood vessels?
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How does the release of serotonin from a clot affect blood pressure?
How does the release of serotonin from a clot affect blood pressure?
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What is the primary physiological role of serotonin in the context of clot formation?
What is the primary physiological role of serotonin in the context of clot formation?
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What happens to blood pressure when a clot forms and substances like serotonin are released?
What happens to blood pressure when a clot forms and substances like serotonin are released?
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Study Notes
Well's Criteria
- Two criteria of Well's criteria are scored with 3 points each:
- The presence of signs and symptoms of DVT
- Diagnosis other than PTE not justifying the patient’s symptoms.
Pulmonary Embolism
- The apex of the right ventricle usually demonstrates normal movement in patients with pulmonary embolism.
- McConnell’s sign can be present in patients with Pulmonary Embolism.
- Echocardiography can be helpful in ruling out other diagnoses such as:
- Pericardial effusion
- MI
- Angina
- A negative echocardiogram does not rule out pulmonary embolism.
- Alternative methods like perfusion scan may be used to confirm the diagnosis.
- A negative CT angiogram does not rule out pulmonary embolism if there is a high clinical suspicion.
Arterial Gas Analysis
- A decrease in pH is commonly observed in the arterial gas analysis of patients with pulmonary embolism.
- The formation of a clot can release substances like serotonin, which causes vasoconstriction and an increase in pressure within the pulmonary arteries.
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Description
Test your knowledge on the Well's criteria for diagnosing pulmonary embolism and the role of echocardiography in ruling out other conditions. This quiz covers essential aspects of arterial gas analysis and diagnosis confirmation techniques. Perfect for medical students and professionals looking to reinforce their understanding of pulmonary embolism diagnostics.
