Pulmonary embolism - Revision history

Danbot: Embed Aa Gradient Calculator on clinical page

2026-03-22T09:55:42Z

Embed Aa Gradient Calculator on clinical page

← Revisión anterior		Revisión del 09:55 22 mar 2026
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	== Calculators ==		== Calculators ==
			{{Aa Gradient Calculator}}
	{{Wells_PE_Calculator}}		{{Wells_PE_Calculator}}

Danbot: Move calculators to own section with header (visible in TOC), expanded, before External Links

2026-03-21T15:04:06Z

Move calculators to own section with header (visible in TOC), expanded, before External Links

@@ Línea 319: / Línea 319: @@
 *[[Cardiac ultrasound]]
 {{Thrombolysis Submassive PE Trials}}
 ==External Links==
@@ Línea 333: / Línea 338: @@
 {{Reflist|2}}
 [[Category:Cardiology]]
 [[Category:Pulmonary]]
 [[Category:Vascular]]

Danbot: Add PERC Rule calculator (collapsible)

2026-03-21T13:41:55Z

Add PERC Rule calculator (collapsible)

← Revisión anterior		Revisión del 13:41 21 mar 2026
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	<div class="mw-collapsible-content">		<div class="mw-collapsible-content">
	{{Wells_PE_Calculator}}		{{Wells_PE_Calculator}}
			</div>
			</div>

			<div class="mw-collapsible mw-collapsed" style="border:1px solid #aaa; padding:5px; margin-top:10px;">
			<div style="font-weight:bold;">📊 PERC Rule Calculator [show]</div>
			<div class="mw-collapsible-content">
			{{PERC_Calculator}}
	</div>		</div>
	</div>		</div>

Danbot: Add Wells Score for PE calculator (collapsible)

2026-03-21T13:41:50Z

Add Wells Score for PE calculator (collapsible)

← Revisión anterior		Revisión del 13:41 21 mar 2026
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	{{Reflist\|2}}		{{Reflist\|2}}


			<div class="mw-collapsible mw-collapsed" style="border:1px solid #aaa; padding:5px; margin-top:10px;">
			<div style="font-weight:bold;">📊 Wells Score for PE Calculator [show]</div>
			<div class="mw-collapsible-content">
			{{Wells_PE_Calculator}}
			</div>
			</div>
	[[Category:Cardiology]]		[[Category:Cardiology]]
	[[Category:Pulmonary]]		[[Category:Pulmonary]]
	[[Category:Vascular]]		[[Category:Vascular]]

Danbot: Add MedicationDose SMW annotations for anticoagulation (enoxaparin, heparin, rivaroxaban, apixaban); dosing verified per ACCP/ESC guidelines

2026-03-20T16:23:40Z

Add MedicationDose SMW annotations for anticoagulation (enoxaparin, heparin, rivaroxaban, apixaban); dosing verified per ACCP/ESC guidelines

← Revisión anterior		Revisión del 16:23 20 mar 2026
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	\|}		\|}


			<div style="display:none">
			<!-- SMW MedicationDose annotations for PE anticoagulation -->
			{{MedicationDose\|drug=Enoxaparin\|dose=1 mg/kg SC q12h\|route=SC\|context=Anticoagulation (1st line, LMWH)\|indication=Pulmonary embolism\|notes=Preferred in cancer, liver disease, coagulopathy, pregnancy}}
			{{MedicationDose\|drug=Unfractionated heparin\|dose=80 units/kg IV bolus, then 18 units/kg/hr continuous infusion\|route=IV drip\|context=Anticoagulation (preferred if rapid reversal needed)\|indication=Pulmonary embolism\|display=Heparin (UFH)\|notes=Short half-life; preferred if considering thrombolytics or bleeding risk}}
			{{MedicationDose\|drug=Rivaroxaban\|dose=15 mg PO BID x3 weeks, then 20 mg PO daily\|route=PO\|context=Anticoagulation (DOAC)\|indication=Pulmonary embolism\|notes=Preferred if parenteral therapy to be avoided}}
			{{MedicationDose\|drug=Apixaban\|dose=10 mg PO BID x1 week, then 5 mg PO BID\|route=PO\|context=Anticoagulation (DOAC)\|indication=Pulmonary embolism}}
			</div>
	==See Also==		==See Also==
	*[[Pulmonary Embolism in Pregnancy]]		*[[Pulmonary Embolism in Pregnancy]]

Benalexander: /* Less common risk factors */ Add sickle cell disease

2025-08-05T18:59:09Z

Less common risk factors: Add sickle cell disease

← Revisión anterior		Revisión del 18:59 5 ago 2025
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	*Protein S deficiency		*Protein S deficiency
	*Hyperhomocysteinemia		*Hyperhomocysteinemia
			*[[Sickle cell crisis\|Sickle cell anemia]] (S/S and S/beta thalassemia)<ref>Naik RP, et al. Venous thromboembolism in adults with sickle cell disease: A serious and under-recognized complication. ''Am J Med''. 2013;125(5):443-449.</ref>

	===Evaluate bleeding risk (HAS-BLED)===		===Evaluate bleeding risk (HAS-BLED)===

Rossdonaldson1: /* Diagnosis */

2024-11-13T18:44:50Z

Diagnosis

← Revisión anterior		Revisión del 18:44 13 nov 2024
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	===Other Possible Diagnostic Findings===		===Other Possible Diagnostic Findings===
	[[File:dsign.gif\|thumb\|D Sign<ref>http://www.thepocusatlas.com/right-ventricle</ref>]]		[[File:dsign.gif\|thumb\|D Sign<ref>http://www.thepocusatlas.com/right-ventricle</ref>]]
	[[File:Hamptons.jpg\|thumb\|Hampton's Hump]]		[[File:Hamptons.jpg\|thumb\|Hampton's Hump.]]
	*[[ECG]] (abnormal in 70% of PE <ref>Marchick, MR et al. 12-lead ECG findings of pulmonary hypertension occur more frequently in emergency department patients with pulmonary embolism than in patients without pulmonary embolism. Ann Emerg Med. 2010 Apr;55(4):331-5.</ref> and associated with an adverse prognosis<ref>Agarwal A et al. Acute management of pulmonary embolism. https://www.acc.org/latest-in-cardiology/articles/2017/10/23/12/12/acute-management-of-pulmonary-embolism. 2017</ref>)		*[[ECG]] (abnormal in 70% of PE <ref>Marchick, MR et al. 12-lead ECG findings of pulmonary hypertension occur more frequently in emergency department patients with pulmonary embolism than in patients without pulmonary embolism. Ann Emerg Med. 2010 Apr;55(4):331-5.</ref> and associated with an adverse prognosis<ref>Agarwal A et al. Acute management of pulmonary embolism. https://www.acc.org/latest-in-cardiology/articles/2017/10/23/12/12/acute-management-of-pulmonary-embolism. 2017</ref>)
	**T-wave inversions (34%)<ref>Co I, Eilbert W, Chiganos T. New Electrocardiographic Changes in Patients Diagnosed with Pulmonary Embolism. J Emerg Med. 2017 Mar;52(3):280-285. doi: 10.1016/j.jemermed.2016.09.009. Epub 2016 Oct 11. PMID: 27742402.</ref>		**T-wave inversions (34%)<ref>Co I, Eilbert W, Chiganos T. New Electrocardiographic Changes in Patients Diagnosed with Pulmonary Embolism. J Emerg Med. 2017 Mar;52(3):280-285. doi: 10.1016/j.jemermed.2016.09.009. Epub 2016 Oct 11. PMID: 27742402.</ref>

Rossdonaldson1: /* External Links */

2024-03-06T19:03:36Z

External Links

← Revisión anterior		Revisión del 19:03 6 mar 2024
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	==External Links==		==External Links==
	*[https://www.acep.org/patient-care/clinical-policies/acute-venous-thromboembolic-disease/ ACEP Clinical Policy: Acute Venous Thromboembolic Disease (Feb 2018)]		*[https://www.acep.org/patient-care/clinical-policies/acute-venous-thromboembolic-disease/ ACEP Clinical Policy: Acute Venous Thromboembolic Disease (Feb 2018)]
			*[https://www.mdcalc.com/calc/1247/simplified-pesi-pulmonary-embolism-severity-index MDCalc Simplified PESI]
	*[http://www.mdcalc.com/wells-criteria-for-pulmonary-embolism-pe/ MDCalc - Well's Criteria for Pulmonary Embolism]		*[http://www.mdcalc.com/wells-criteria-for-pulmonary-embolism-pe/ MDCalc - Well's Criteria for Pulmonary Embolism]
	*[http://www.mdcalc.com/perc-rule-for-pulmonary-embolism/ MDCalc - PERC Rule for Pulmonary Embolism]		*[http://www.mdcalc.com/perc-rule-for-pulmonary-embolism/ MDCalc - PERC Rule for Pulmonary Embolism]

Josgood: /* Prognosis */

2023-02-13T10:41:48Z

Prognosis

← Revisión anterior		Revisión del 10:41 13 feb 2023
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	\| Heart Failure\|\|+10		\| Heart Failure\|\|+10
	\|-		\|-
	\| Chronic Lung ~~Diseae~~\|\|+10		\| Chronic Lung Disease\|\|+10
	\|-		\|-
	\| '''Clincal Findings'''\|\|		\| '''Clincal Findings'''\|\|

Rossdonaldson1: /* Clinical Features */

2022-01-08T01:39:41Z

Clinical Features

← Revisión anterior		Revisión del 01:39 8 ene 2022
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	==Clinical Features==		==Clinical Features==
			[[File:Deep vein thrombosis of the right leg.jpg\|thumbnail\|DVT of right leg]]
	{{PE clinical presentation}}		{{PE clinical presentation}}