Rotations 2.0 Episode 10 Isolated Distal Deep Vein Thrombosis (Peripheral Vascular Disease)

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Intro: Rock Christmas/ Christmas Music by tramp963

Outro: India Bollywood Hindi Song Background Jusic by ikoliks

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Produced by: Todd Fredricks DO MSS

Edited by: Todd Fredricks DO MSS

Questions and Answers from Episode 9 Pulmonary Embolism

Question 1: Diagnosis in Non-Pregnant Patients with Elevated D-dimer

 A 45-year-old woman presents to the emergency department with acute onset of chest pain and shortness of breath. She has a history of recent long-haul flight and oral contraceptive use. On examination, she has tachycardia and tachypnea but is normotensive. Her D-dimer level is elevated. Which of the following is the most appropriate next step in management? 

• C. Obtain a computed tomography pulmonary angiography (CTPA). 

Question 2: Treatment for Cancer Patients with Stable PE

 A 65-year-old man with a history of lung cancer is diagnosed with a pulmonary embolism (PE) after presenting with dyspnea and chest pain. He is hemodynamically stable, and his right ventricular function is normal on echocardiogram. Which of the following is the most appropriate initial treatment? 

• B. Low-molecular-weight heparin (LMWH) 

Question 3: Managing Suspected PE in Pregnancy

 A 30-year-old pregnant woman at 28 weeks gestation presents to the emergency department with sudden onset of dyspnea and chest pain. She has no significant past medical history. Her vital signs are stable, and her D-dimer level is elevated. Which of the following is the most appropriate next step in management? 

• A. Perform a ventilation-perfusion (V/Q) scan. 

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