HISTORY:
Sudden onset of for
, ,
,
Worsening factors:
Treatments tried: ,
Other elements:
EXAM:
General appearance:
Vital signs: , BP , HR , RR , SpO2 %, Temp °
Neck:
Heart: ,
Lungs: ,
Chest: on
Breasts: -R: , -L:
Extremities: , , cap refill , pulses ,
ASSESSMENT:
DDx:
PLAN:
- Blood work: , , , , ,
- Chest X-ray
- CT pulmonary angiogram
- V/Q scan
- ECG
- Echocardiogram
- Lower limb venous doppler ultrasound
- Cardiac monitoring
-
- if signs of massive PE
- Oxygen to maintain SpO2 > 92%
- Referral to pulmonologist
- Referral to hematologist
- Referral to internist
- Investigation of underlying cause (maligancy, thrombophilia)
- Follow-up in
- Return if symptoms worsen or if new symptoms develop such as chest pain, shortness of breath, or fainting
- Go to ER if severe chest pain, severe shortness of breath, or fainting occurs