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Diagnostic algorithm: Pulmonary embolism
show more Title: Diagnostic algorithm: Pulmonary embolism Depositor: batchuser@i-human.com Creator: L.M. Tierney; M.C. Henderson Description: A diagnostic algorithm for pulmonary embolism (estimated frequencies of test results and associated prevalences of pulmonary embolism for a hypothetical cohort of 1000 outpatients) [1]. If a very sensitive D-dimer assay is used, it can be the first test performed: a negative result excludes pulmonary embolism regardless of clinical assessment category and a positive test can be followed by a ventilation–perfusion scan [2]. A ventilation–perfusion scan can be performed as the initial test without using clinical assessment of the probability of pulmonary embolism as part of the diagnostic process [3]. Pulmonary angiography or helical CT may be considered if the clinical assessment of pulmonary embolism probability is low, particularly if a D-dimer test has not been done [4]. Additional testing (e.g., helical CT, bilateral venography) may be considered if overall assessment suggests a high probability of pulmonary embolism (e.g., 50%–80%), symptoms are severe or cardiopulmonary reserve is poor [5]. Venography should be considered if there is an increased risk of a false-positive ultrasound result (e.g., previous venous thromboembolism, equivocal ultrasound findings, preceding findings suggest low probability of pulmonary embolism [e.g., ≤ 10%]) [6]. It is reasonable not to repeat ultrasound testing, or to do only 1 more ultrasound after 1 week, if preceding findings suggest a low probability of pulmonary embolism (e.g., ≤ 10%) [7]. If helical CT is used in place of ventilation–perfusion lung scanning: (i) intraluminal filling defects in segmental or larger pulmonary arteries are generally diagnostic for pulmonary embolism; (ii) all other findings (i.e., a normal CT scan or intraluminal filling defects confined to the subsegmental pulmonary arteries) are nondiagnostic and can be managed as shown for a nondiagnostic lung scan. Keywords: Embolism, Pulmonary Thromboembolism, Thromboembolism, Pulmonary, Embolism, Pulmonary Pulmonary Thromboembolisms, Embolisms, Pulmonary, Thromboembolisms, Pulmonary, Vascular Diseases, Pulmonary Embolisms Date Uploaded: 06/23/2013 -
X-ray (chest), AP, Bilateral Mid-and-Lower Lobe Infiltrates
show more Title: X-ray (chest), AP, Bilateral Mid-and-Lower Lobe Infiltrates Depositor: batchuser@i-human.com Creator: Ignacio Echenique, MDNorthwestern University Feinberg School of Medicine Description: CXR AP Adult Male, bilateral mid-and-lower lobe infiltrates Keywords: Radiography, Radiology, Diagnostic X-Ray, X-Ray Radiology, Diagnostic, Pneumonia, Aspiration, Diagnostic X-Ray Radiology, Diagnostic X-Ray, Respiratory Tract Diseases, Pneomonia, Aspiration, Diagnosis, Lung Diseases, Roentgenography, lung infiltrate, X-Ray, Diagnostic Date Uploaded: 06/22/2013 -
Temporal Wasting - Adult Male
show more Title: Temporal Wasting - Adult Male Depositor: batchuser@i-human.com Creator: Description: Temporal Wasting - Adult Male with HIV Patients with wasting syndrome show severe loss of temporal muscle mass and cheek tessues. Loss of facial fat and premature greying, thinning, and fall of hair contribute to rapid ageing apparence which is a striking feature in patients with AIDS Keywords: Temporal region, muscle wasting, Musculoskeletal Diseases Date Uploaded: 06/22/2013 -
Lateral Medulla Infarct, MRI Brain
show more Title: Lateral Medulla Infarct, MRI Brain Depositor: batchuser@i-human.com Creator: Susan Gallagher, MD SUNY at Buffalo School of Medicine and Biomedical Sciences Description: MRI: Brain, Lateral medulla infarct Axial and sagital views Keywords: Functional Magnetic Resonance Imaging, Brain, Magnetic Resonance Imaging, Functional, Chemical Shift Imaging, MR Tomography, Tomography, Proton Spin, NMR Tomography, Infarction, Tomography, NMR, Magnetic Resonance Spectroscopy, Imaging, Chemical Shift, Zeugmatography, NMR Imaging, medullary infarct, MRI Scans, Tomography, MR, Diagnosis, Proton Spin Tomography, Magnetization Transfer Contrast Imaging, MRI, Functional, fMRI, Anatomy, Cross-Sectional Date Uploaded: 06/21/2013 -
12-Lead ECG: NSR with LAE and LVH ~64 bpm
show more Title: 12-Lead ECG: NSR with LAE and LVH ~64 bpm Depositor: batchuser@i-human.com Creator: Susan Gallagher, MDSUNY at Buffalo School of Medicine and Biomedical Sciences Description: 12-Lead ECG: NSR 64 bpm LAE and LVH Keywords: Diagnosis, Left Atrial Enlargement, Hypertension, Functions, Left Atrial, Left Ventricular Hypertrophy, Function, Left Atrial, Left Ventricular Hypertrophies, Hypertrophies, Left Ventricular, Heart Ventricles, Heart, Atrial Functions, Left, ECG, Aortic Stenosis, EKG, Left Atrial Functions, Ventricular Hypertrophy, Left, Electrocardiogram, Ventricular Hypertrophies, Left, Electrocardiograph Date Uploaded: 06/21/2013 -
Colon, Diverticular Bleed
show more Title: Colon, Diverticular Bleed Depositor: batchuser@i-human.com Creator: Weill-Cornell Medical College Description: Colon - Diverticula bleed Keywords: intestinal pouch, intestinal outpocketing, blood, Diverticulum, Colon, bleeding, diverticulum Date Uploaded: 06/21/2013 -
Lateral Medulla Infarct, MRI Brain
show more Title: Lateral Medulla Infarct, MRI Brain Depositor: batchuser@i-human.com Creator: Susan Gallagher, MD SUNY at Buffalo School of Medicine and Biomedical Sciences Description: MRI: Brain, Lateral medulla infarct Axial and sagital views Keywords: Tomography, NMR, Magnetic Resonance Spectroscopy, Infarction, Functional Magnetic Resonance Imaging, Imaging, Chemical Shift, Zeugmatography, Tomography, MR, medullary infarct, Chemical Shift Imaging, Brain, Magnetization Transfer Contrast Imaging, MRI, Functional, NMR Imaging, Diagnosis, NMR Tomography, fMRI, MRI Scans, Tomography, Proton Spin, Anatomy, Cross-Sectional, Proton Spin Tomography, Magnetic Resonance Imaging, Functional, MR Tomography Date Uploaded: 06/21/2013 -
Ultrasound (abdomen), Ectopic Pregnancy
show more Title: Ultrasound (abdomen), Ectopic Pregnancy Depositor: batchuser@i-human.com Creator: Rush Medical College Description: Ultrasound - Ectopic pregnancy Keywords: Sonography, Medical, ultasound, pregnancy, Computer Echotomography, Pregnancy, Ectopic, Ultrasound Imaging, pregnant, Ultrasonic Diagnosis, Diagnosis, Diagnosis, Ultrasonic, Echotomography, Computer, Echography, Tomography, Ultrasonic, ectopic pregnancy, Ultrasonic Imaging, Echotomography, Ultrasonic Tomography Date Uploaded: 06/20/2013 -
Ultrasound (abdomen), Ectopic Pregnancy
show more Title: Ultrasound (abdomen), Ectopic Pregnancy Depositor: batchuser@i-human.com Creator: Rush Medical College Description: Ultrasound - Ectopic pregnancy Keywords: Diagnosis, Echotomography, Computer, Echotomography, Tomography, Ultrasonic, Ultrasonic Imaging, Diagnosis, Ultrasonic, Echography, pregnant, Pregnancy, Ectopic, Ultrasound Imaging, ultasound, ectopic pregnancy, Ultrasonic Tomography, Computer Echotomography, pregnancy, Ultrasonic Diagnosis, Sonography, Medical Date Uploaded: 06/20/2013 -
Palmer Crease
show more Title: Palmer Crease Depositor: batchuser@i-human.com Creator: Description: Palmer crease Keywords: hand crease, palm crease, palm of hand Date Uploaded: 06/19/2013