A 42-year-old woman presents with haemoptysis at 19 weeks gestation.
She had a pregnancy-provoked PE one week after her third delivery; thrombophilia testing was subsequently negative. In this pregnancy she is receiving prophylactic daily enoxaparin.
She has had 7 days of rhinorrhoea and sore throat, 24 hours of cough with white sputum and three episodes of haemoptysis today. There is no fever, no DVT signs, no malignancy history and no recent travel or immobilisation. At triage HR is 110, BP 100 systolic and oxygen saturation 98% on air.
Using a three-tier model, stratify her risk for pulmonary embolism and justify the stratification.
(Marked out of 4.0)
/ 4
Outline your approach to D-dimer testing in this patient.
(Marked out of 3.0)
/ 3
List three causes of a false-negative D-dimer.
(Marked out of 3.0)
/ 3
List five ECG findings typically seen in pulmonary embolism.
(Marked out of 5.0)
/ 5
Total Score: 0 / 15
Percentage: 0%
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