Fast Five Quiz: Test Your Knowledge of Venous Thromboembolism

Cheong Jun Lee, MD

Disclosures

December 03, 2018

Dyspnea is the most frequent symptom of PE. Patients with smaller PEs that are closer to the pleural membrane may complain of pleuritic chest pain, cough, or hemoptysis. Massive PE may present with syncope; however, PE is diagnosed in < 1% of patients presenting to the emergency department for evaluation of syncope. Other symptoms of PE include a sense of impending doom, apprehension, and anxiety.

Physical examination findings of PE include the following:

  • Tachypnea (respiratory rate > 18 breaths/min) is the most common sign of PE.

  • Tachycardia often is present.

  • The second heart sound can be accentuated.

  • Fever may be present.

  • Lung examination findings frequently are normal.

  • Cyanosis may be present.

Symptoms and signs of DVT may include lower-extremity swelling, warmth to the touch, or tenderness.

For more on the presentation of VTE, read here.

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