• Emerg. Med. Clin. North Am. · May 2012

    Review

    Pulmonary embolism.

    • David W Ouellette and Catherine Patocka.
    • Department of Medicine, Schulich School of Medicine and Dentistry, University of Western Ontario, London, Ontario, Canada. douellettemd@gmail.com
    • Emerg. Med. Clin. North Am. 2012 May 1; 30 (2): 329-75, viii.

    AbstractPulmonary embolism (PE) remains one of the most challenging medical diseases in the emergency department. PE is a potentially life threatening diagnosis that is seen in patients with chest pain and/or dyspnea but can span the clinical spectrum of medical presentations. In addition, it does not have any particular clinical feature, laboratory test, or diagnostic modality that can independently and confidently exclude its possibility. This article offers a review of PE in the emergency department. It emphasizes the appropriate determination of pretest probability, the approach to diagnosis and management, and special considerations related to pregnancy and radiation exposure.Copyright © 2012 Elsevier Inc. All rights reserved.

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