Pulmonary embolism in pregnancy: Difference between revisions
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==Background== | ==Background== | ||
* Also consider V/Q in young females in order to minimize radiation exposure to breast tissue | |||
* Also consider V/Q vs CTPA in pregnant females depending on multiple considerations including the above + radiation burden to fetus | |||
==Clinical Features== | ==Clinical Features== | ||
Revision as of 17:04, 7 May 2014
Background
- Also consider V/Q in young females in order to minimize radiation exposure to breast tissue
- Also consider V/Q vs CTPA in pregnant females depending on multiple considerations including the above + radiation burden to fetus
Clinical Features
Differential Diagnosis
Workup
- Clinical features suggestive of PE
- Bilateral LE Ultrasound
- Positive-->treat empirically for PE
- Negative-->CTA
- CT (with shield) vs. V/Q is roughly equilivalent radiation exposure
- Bilateral LE Ultrasound
D-Dimer
- D-Dimer MAY BE (no RCTs) used with following limits:
- 1st trimester: <750 (+50% increase from normal lab threshold)
- 2nd trimester: <1000 (+100% from normal)
- 3rd trimester: <1250 (+150% from normal)
Management
- Heparin and Enoxaparin are safe (coumadin is not)
Disposition
Admit