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DU PA Pulm Vasc

Duke PA Pulmonary Vasculature Disease

hematocrit >60 polycythemia
increases blood viscosity pylycythemia
idiopathic recurrent alveolar hemorrhage and rapidly progressive glomerulonephritis good pasture syndrome
disease of children or young adults characterized by recurrent pulmonary hemorrhage idiopathic pulmonary hemosiderosis
pulmonary hypertension is characterized by elevated mean pulmonary pressure of greater than __mmHg at rest 25
patients with pulmonary hypertension also have low cardiac output
the most common secondary cause of pulmonary hypertension connective tissue disease (scleroderma)
this should be performed in all patients suspected of pulmonary hypertension right ventricular catheterization
median survival after diagnosis of pulmonary hypertension ____ years 3
a proximal DVT is above the _____ knee
stasis, hypercoagulability, venous injury Virchow's triad
a break down product of a thrombus d-dimer
characteristic of d-dimer sensitive, but not specific
d-dimer is best for _______ DVT, or PE ruling out
gold standard for suspected DVT, however it is rarely done contrast venography
most common and practical means of detecting DVT ultrasound
for a patient with DVT treat with ____ for about 5 days UFH or LMWH
for a patient with DVT treat with ____ for at least 3 months warfarin
Increased bioavailability, Once or twice daily subcutaneous delivery, Monitoring not generally required, Outpatient therapy facilitated, Lower rate of HIT advantages of LMWH over UFH
Dyspnea 73%,Pleuritic CP 66%, Cough 37%, Leg swelling 28%,Leg pain 26%, Hemoptysis 13% history of PE
Tachycardia 70%, Tachypnea 30%, Crackles 51%, Loud P2 23%, Diaphoresis 11%, Hypotension 8% physical exam of PE
most common test for PE spiral CT
gold standard for PE but rarely done pulmonary arteriogram
Created by: bwyche