Search results for "Pulmonary embolism"
Adding aspirin or NSAID to anticoagulant doubles bleeding risk
Taking aspirin or an NSAID while on anticoagulant therapy significantly increases the risk of bleeding in patients who have had a venous thromboembolism (VTE), a recent study found.
https://immattersacp.org/weekly/archives/2014/04/22/5.htm
22 Apr 2014
MKSAP Quiz: ED evaluation for midsternal pain
A 59-year-old woman is evaluated in the emergency department for midsternal chest pain. The pain began several hours ago as a vague ache in her left upper sternal region that progressed in intensity and severity. The pain abated spontaneously after approximately 45 minutes. She had no further chest pain until several hours later, when it recurred unprovoked by exertion. She has no shortness of breath, nausea or vomiting, syncope, previous history of chest pain, or known cardiac disease or risk factors for venous thromboembolism. Medical history is significant for hyperlipidemia and hypertension. She does not smoke cigarettes. Medications are simvastatin, aspirin, lisinopril, and hydrochlorothiazide. Following a physical exam, electrocardiogram and chest radiograph, what is the most appropriate initial management?.
https://immattersacp.org/archives/2014/04/mksap.htm
1 Apr 2014
Age-adjusted D-dimer cutoff appears better at ruling out PE
D-dimer cutoffs adjusted for age performed better than a fixed D-dimer cutoff for safely ruling out pulmonary embolism (PE), especially in elderly patients, according to a new study.
https://immattersacp.org/weekly/archives/2014/03/25/6.htm
25 Mar 2014
CONFERENCE COVERAGE The American Heart Associationmight want to start ...
CT pulmonary angiography would behelpful if there were a high probability ofacute pulmonary embolism. ... Because thispatient has symptoms and ECG findings ofacute coronary syndrome and the probabil-ity of pulmonary embolism is low (she hasno risk factors or physical examinationfindings to support the diagnosis of
https://immattersacp.org/archives/2014/04/acpi-201404-puzzle_t2.pdf
25 Mar 2014
MKSAP Quiz: Pregnancy and a previous idiopathic pulmonary embolism
A 35-year-old woman undergoes evaluation after home pregnancy testing indicated that she is pregnant. Her medical history includes a previous idiopathic pulmonary embolism. Her only medication is a daily prenatal vitamin. Following a physical exam, what is the most appropriate venous thromboembolism prophylaxis for this patient?
https://immattersacp.org/weekly/archives/2013/11/12/3.htm
12 Nov 2013
Pulmonary and endocrine societies identify unnecessary tests
Several medical societies recently released lists of commonly performed pulmonary and endocrine tests and procedures that may not always be necessary, as part of the American Board of Internal Medicine Foundation's Choosing Wisely campaign.
https://immattersacp.org/weekly/archives/2013/10/29/2.htm
29 Oct 2013
Long-term follow-up of WHI indicates menopausal hormone therapy not helpful for chronic disease prevention
Hormone therapy after menopause is not effective for chronic disease prevention, according to a new analysis of long-term follow-up data from the Women's Health Initiative (WHI).
https://immattersacp.org/weekly/archives/2013/10/08/1.htm
8 Oct 2013
MKSAP Quiz: Emergency visit for chest pain
A 66-year-old man is evaluated in the emergency department for chest pain. He describes a sharp pain in the midchest that does not radiate. The pain began suddenly at rest and has persisted for approximately 40 minutes. He has hypertension treated with amlodipine. Following a physical exam and lab results, what is the most appropriate diagnostic test to perform next?.
https://immattersacp.org/archives/2013/10/mksap.htm
1 Oct 2013
The August issue is online and coming to your mailbox
The August issue of ACP Hospitalist is online and includes a cover article on green hospitals, an installment of The Brief Case, and extensive coverage of the Hospital Medicine 2013 annual conference.
https://immattersacp.org/weekly/archives/2013/08/20/6.htm
20 Aug 2013
Appropriate use criteria offered for noninvasive vascular tests of more than 100 clinical scenarios
Eleven medical societies drafted detailed criteria to help clinicians optimize the appropriate use of noninvasive vascular tests in patients with known or suspected disorders of the venous system, such as venous insufficiency; varicose veins; blood clots in the leg, arm or abdomen; and pulmonary embolism.
https://immattersacp.org/weekly/archives/2013/07/23/4.htm
23 Jul 2013