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Difference between revisions of "Pulmonary embolism"
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'''Pulmonary embolism''', abbreviated '''PE''', is often on the differential in [[autopsy|autopsies]], as it is not easy to diagnose clinically. | '''Pulmonary embolism''', abbreviated '''PE''', is often on the differential in [[autopsy|autopsies]], as it is not easy to diagnose clinically. | ||
''Pulmonary embolism'' is a non-specific term it may refer to a number of things, including: | |||
*Pulmonary venous thromboembolism. | |||
*Pulmonary fat embolism. | |||
*Pulmonary foreign body embolism. | |||
*Pulmonary septic embolism. | |||
PE usually refers to '''pulmonary venous thromboembolism''', abbreviated '''VTE''', if not otherwise specified. | |||
==Clinical== | ==Clinical== | ||
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*Venous thrombosis OR~=12 for PE.<ref name=pmid20648405>{{cite journal |author=Reissig A, Haase U, Schulze E, Lehmann T, Kroegel C |title=[Diagnosis and therapy of pulmonary embolism prior to death] |language=German |journal=Dtsch. Med. Wochenschr. |volume=135 |issue=30 |pages=1477–83 |year=2010 |month=July |pmid=20648405 |doi=10.1055/s-0030-1262435 |url=}}</ref> | *Venous thrombosis OR~=12 for PE.<ref name=pmid20648405>{{cite journal |author=Reissig A, Haase U, Schulze E, Lehmann T, Kroegel C |title=[Diagnosis and therapy of pulmonary embolism prior to death] |language=German |journal=Dtsch. Med. Wochenschr. |volume=135 |issue=30 |pages=1477–83 |year=2010 |month=July |pmid=20648405 |doi=10.1055/s-0030-1262435 |url=}}</ref> | ||
==Risks== | ==Risks factors (VTE)== | ||
*Trauma. | *Trauma. | ||
*Immobility. | *Immobility. | ||
| Line 29: | Line 37: | ||
**Sticky platelet syndrome. | **Sticky platelet syndrome. | ||
==Gross== | ==Gross (VTE)== | ||
*Intravascular spagetti with cream sauce. | *Intravascular spagetti with cream sauce. | ||
*Leg swelling. | *Leg swelling. | ||
==Microscopic== | ==Microscopic (VTE)== | ||
Features: | Features: | ||
*Organized blood components (RBCs, WBCs) in layers with organization (fibrin); ''Lines of Zahn'' = layers of components | *Organized blood components (RBCs, WBCs) in layers with organization (fibrin); ''Lines of Zahn'' = layers of components | ||