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