Pulmonary Embolism
Pulmonary Embolism is a topic covered in the 5-Minute Emergency Consult.
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Basics
Description
Description
- The majority of pulmonary embolisms (PEs) arise from thrombi in the deep veins of the lower extremities and pelvis.
- Thrombi also originate in renal and upper extremity veins.
- After traveling to lungs, the size of the thrombus determines signs and symptoms.
Etiology
Etiology
- Most patients with PE have identifiable risk factor:
- Recent surgery
- Pregnancy
- Previous deep vein thrombosis (DVT)/PE
- Stroke or recent paraplegia
- Malignancy
- Age >50 yr
- Obesity
- Smoking
- Oral contraceptives
- Major trauma
- Hematologic risk factors:
- Factor 5 Leiden
- Protein C or S deficiency
- Antithrombin III deficiency
- Antiphospholipid antibody syndrome
- Lupus anticoagulant
Pediatric Considerations
- Thromboembolic disease is quite rare.
- Risk factors in children:
- Presence of central venous catheter
- Immobility
- Heart disease
- Trauma
- Malignancy
- Surgery
- Infection
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Citation
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TY - ELEC
T1 - Pulmonary Embolism
ID - 307411
ED - Barkin,Adam Z,
ED - Barkin,Roger M,
ED - Hayden,Stephen R,
ED - Rosen,Peter,
ED - Schaider,Jeffrey J,
ED - Shayne,Philip,
ED - Wolfe,Richard E,
BT - 5-Minute Emergency Consult
UR - https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307411/all/Pulmonary_Embolism
PB - Lippincott Williams & Wilkins
ET - 5
DB - Emergency Central
DP - Unbound Medicine
ER -