American College of Chest Physicians's ACCP pulmonary medicine board review PDF

By American College of Chest Physicians

ISBN-10: 0916609774

ISBN-13: 9780916609771

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0 Total score 0 to 3, low pretest probability 4 to 10, moderate pretest probability Ն 11, high pretest probability *Adapted from Tapson VF. Acute pulmonary embolism. N Engl J Med 2008; 358:1037–1052. finding provides compelling evidence against the diagnosis of PE. In one study of 515 consecutive patients with clinically suspected PE who had anticoagulation therapy withheld on the basis of a normal perfusion scan finding, only 3 patients had symptomatic VTE (PE, 1 patient) during a 3-month follow-up period.

Multiple-hit hypothesis of pathogenesis of PAH: BMPR-II, bone morphogenic protein receptor type 2. From Gabbay E, Reed A, Williams TJ. Assessment and treatment of pulmonary arterial hypertension: an Australian perspective in 2006. Intern Med J 2006; 37:38−48. PAH related to risk factors or associated conditions is a heterogeneous group of disorders, including connective tissue disease, congenital systemic pulmonary shunt, portal hypertension, HIV infection, drugs and toxin, and those conditions such as hemoglobinopathies and myeloproliferative disorders.

When the . PIOPED criteria are used, a high-probability V/Q lung scan finding accompanied with a high prescan clinical suspicion is. associated with confirmed PE in Ͼ 96% of cases. V/Q scan patterns other than normal or high-probability patterns will require additional diagnostic evaluation. Spiral CT pulmonary angiography (CTPA) of the pulmonary circulation has emerged as the Pulmonary Vascular Diseases (Moores) 7/10/09 8:03:53 PM primary diagnostic method for the evaluation of PE. As a minimally invasive examination, this technique is widely available and has replaced the use of conventional pulmonary angiography in most centers.

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ACCP pulmonary medicine board review by American College of Chest Physicians


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