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PANCE Prep Pearls: 3rd Ed. (2019)
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Pulmonary Circulation

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PANCE Prep Pearls: 3rd Ed. (2019) | Physician Assistant (PA) School Study Aid

Pulmonary Circulation
6 Picmonics to Learn | 10 mins
Pulmonary Hypertension Diagnosis and Management
Diagnosis
Echocardiogram
Right Heart Cathetherization
> 20 mmHg at Rest
Chest X-Ray
MANAGEMENT
Treat Underlying Disorder
Calcium Channel Blockers
Endothelin Receptor Antagonists
Prostacyclin Analogs
PDE-5 inhibitors
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2 mins
Pulmonary Hypertension Classification (WHO)
Group 1
Pulmonary Arterial Hypertension
Idiopathic
Hereditary
BMPR2 Mutation
Group 2
Left Heart Disease
Group 3
Lung Diseases or Hypoxia
COPD
Obstructive Sleep Apnea
Group 4
Chronic Pulmonary Emboli
Group 5
Multifactorial
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2 mins
Pulmonary Embolism Causes
Causes
FAT BAT Mnemonic
Fat
Air
Deep Vein Thrombosis (DVT)
Bacteria
Amniotic Fluid
Tumor
Risk Factors
Hypercoagulable
Central Venous Lines
Immobilized
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1 min
Pulmonary Embolism Assessment
Assessment
Shortness of Breath (SOB)
Pleuritic Chest Pain
Tachypnea
Hemoptysis
Hypoxemia
Considerations
Sudden Death
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52 secs
Pulmonary Embolism Presentation and Diagnosis
Presentation
Sudden onset Shortness of Breath (S.O.B.)
Tachypnea
Pleuritic Chest Pain
Hemoptysis
Hypoxemia
Sudden Death
Diagnosis
Gold Standard: CT Pulmonary Angiography
X-Ray
D-Dimer
V/Q Scan
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1 min
Wells' Criteria for Pulmonary Embolism
Scoring
Clinical Symptoms of DVT (+3)
Pulmonary Embolism Most Likely Diagnosis (+3)
Tachycardia (+1.5)
Immobilization > 3 Days (+1.5)
Previous DVT or PE (+1.5)
Hemoptysis (+1)
Malignancy (+1)
Probability
> 6 = High
2-6 = Moderate
< 2 = Low
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3 mins

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