Assessment of Deep vein thrombosis and pulmonary embolism: Pathology review | Osmosis

Question

A 55-year-old woman comes to the emergency department because of new onset shortness of breath and chest pain for the past 3 hours. She reports that she was walking to her car when the symptoms started, and she describes the pain as sharp and worse with deep inhalation. Additionally, she says she has been coughing up bloody mucus for the past hour. Her medical history is significant for breast cancer, for which she is currently undergoing radiation therapy. Her temperature is 37.5&#176;C (99.5&#176;F), pulse is 110/min, respirations are 24/min, blood pressure is 140/80 mm Hg, and oxygen saturation is 89% on room air. Troponin is 0.08 ng/mL and brain natriuretic peptide (BNP) is 425 pg/mL. Which of the following is the best investigation for diagnosing this patient&#8217;s condition? &#160;

Accepted Answer

CT-pulmonary angiography

Answer

Chest x-ray

Answer

D-dimer blood test

Answer

Ventilation-perfusion (V/Q) Scan

Answer

Rigid bronchoscopy

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Deep vein thrombosis and pulmonary embolism: Pathology review

Pathology

Respiratory system