Search results for "Pulmonary embolism"
Patients presenting with acute pulmonary embolism in primary care settings can be safely managed without hospitalization, a study finds
Of more than 600 encounters involving pulmonary embolism diagnosis in primary care, patients were sent home in 20.6%, and in 37.8% of encounters referred to the ED, patients were discharged home without events. Only one outpatient had an adverse event within 30 days.
https://immattersacp.org/weekly/archives/2022/01/18/4.htm
18 Jan 2022
New resource offers pearls for perioperative medicine
A recent book addresses perioperative medicine, including how to be a perioperative consultant, prophylaxis for venous thromboembolism, coexisting medical problems, and common postoperative complications.
https://immattersacp.org/archives/2022/02/new-resource-offers-pearls-for-perioperative-medicine.htm
1 Feb 2022
Managing DOACs in primary care
Primary care physicians play a crucial role in ongoing anticoagulation management, including educating patients about the signs of venous thromboembolism.
https://immattersacp.org/archives/2022/04/managing-doacs-in-primary-care.htm
1 Apr 2022
Higher risk for DVT, PE, bleeding seen after COVID-19; long-term risk for VTE recurrence may be low
A Swedish study found that patients who had COVID-19 were at higher risk for a first deep venous thrombosis (DVT) for up to three months, pulmonary embolism (PE) for up to six months, and bleeding for up to two months, while a single-center study from France found that risk for venous thromboembolism (VTE) recurrence up to a year after COVID-19 was low.
https://immattersacp.org/weekly/archives/2022/04/12/2.htm
12 Apr 2022
MKSAP Quiz: Multiple segmental pulmonary emboli
A 65-year-old man is diagnosed with multiple segmental pulmonary emboli in the right lung. He has no other medical problems, and he takes no medications. He is alert and engaged in shared decision making. After a physical exam and discussion with the patient, what is the appropriate treatment recommendation?
https://immattersacp.org/weekly/archives/2022/05/31/3.htm
31 May 2022
MKSAP Quiz: 2-day history of shortness of breath
A 35-year-old man is evaluated in the emergency department for a 2-day history of shortness of breath with no cough or hemoptysis. Medical history is unremarkable, and he takes no medications. What is the most appropriate management?
https://immattersacp.org/weekly/archives/2022/07/05/4.htm
5 Jul 2022
MKSAP Quiz: 4-month history of progressive exertional dyspnea
A 57-year-old woman is evaluated for a 4-month history of progressive exertional dyspnea and occasional chest pain and palpitations. She has limited cutaneous systemic sclerosis with Raynaud phenomenon and gastroesophageal reflux disease. Following a physical exam and lab tests, what is the most appropriate diagnostic test?
https://immattersacp.org/weekly/archives/2022/08/09/3.htm
9 Aug 2022
Latest COVID-19 research on VTE risk, treatment with metformin, ivermectin, fluvoxamine
Unvaccinated patients may have higher risk of venous thromboembolism (VTE) when mildly ill, one study found, while another showed no effect from metformin, ivermectin, or fluvoxamine. Research supported the safety of the mRNA vaccines, and the NIH updated its treatment guidelines.
https://immattersacp.org/weekly/archives/2022/08/23/4.htm
23 Aug 2022
Patients with provoked VTE often on anticoagulation longer than recommended
Three variables were associated with receiving anticoagulation for longer than three months after a provoked venous thromboembolism (VTE): direct oral anticoagulant use, history of VTE, and history of myocardial infarction.
https://immattersacp.org/weekly/archives/2022/11/01/4.htm
1 Nov 2022
Home-based INR monitoring associated with fewer adverse events
An industry-funded, claims-based analysis found that patients on warfarin who tested their international normalized ratio (INR) at home had lower rates of stroke, thromboembolism, and major bleeding than patients whose INRs were measured at physicians' offices or in laboratories.
https://immattersacp.org/weekly/archives/2024/01/02/4.htm
2 Jan 2024