Template:PE clinical presentation: Difference between revisions

Revision as of 22:37, 19 April 2026

Dyspnea at rest or with exertion (75-80%)
Chest pain (66%)
- Pleuritic pain, pain that halts respiration, is only seen in 20% of patients
Cough
Hemoptysis
Unilateral calf swelling
Syncope
- Syncope is caused by PE <5% of the time

Tachycardia (HR>100), Tachypnea (RR>20), Hypoxemia (SpO2<95%) are seen ~50% of the time
Hypotension (SBP<90) only seen 10% of the time, but largest predictor of mortality
Unilateral calf tenderness or edema, suggestive of a DVT
Other signs may include accentuated pulmonic component of second heart sound, JVD, or decreased breath sounds

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 ===Symptoms===
-''According to the PIOPED II study, these are the most common presenting signs''<ref>Stein PD et al. Clinical characteristics of patients with acute pulmonary embolism: data from PIOPED II. Am J Med. 2007;120(10):871.</ref>
+*[[Dyspnea]] at rest or with exertion (75-80%)
+*[[Chest pain]] (66%)
-*[[Dyspnea]] at rest or with exertion (73%)
+**Pleuritic pain, pain that halts respiration, is only seen in 20% of patients
-*Pleuritic [[chest pain]] (44%)
+*[[Cough]]
-*[[Cough]] (37%)
+*[[Hemoptysis]]
-*Orthopnea (28%)
+*Unilateral calf swelling
-*Calf or thigh pain and/or swelling (44%)
+*Syncope
-*[[Wheezing]] (21%)
+** Syncope is caused by PE <5% of the time
-*[[Hemoptysis]] (13%)
 ===Signs===
-*[[Tachypnea]] (54%)
+*[[Tachycardia]] (HR>100), [[Tachypnea]] (RR>20), Hypoxemia (SpO2<95%) are seen ~50% of the time
-*Calf or thigh swelling, erythema, edema, tenderness, palpable cord (47%)
+*Hypotension (SBP<90) only seen 10% of the time, but largest predictor of mortality
-*[[Tachycardia]] (24%)
+*Unilateral calf tenderness or edema, suggestive of a DVT
-*Rales (18%)
+*Other signs may include accentuated pulmonic component of second heart sound, JVD, or decreased breath sounds
-*Decreased breath sounds (17%)
-*Accentuated pulmonic component of the second heart sound (15%)
-*JVD (14%)
-*[[Fever]] (3%)