The workup of PE in pregnant patients, according to the American Thoracic Society/Society of Thoracic Radiology clinical practice guideline. @jeremyfaust reminds me that dimer should be included.
April 8th, 2008
275. Management options for PE / Management of pt with diagnosed PE who returns with persistent symptoms / How to R/O PE in pregnant patient
by reuben in DVT/PE1 Comment
Jeff Kline’s latest recommendation for ruling out PE in pregnant patient:
1. If the PERC rule is negative, use the D-dimer by adjusting the quantitative D-dimer upward in pregnancy: first trimester, < 750 ng/mL; second trimester, < 1000 ng/mL; third trimester, < 1500 ng/mL.
2. If not PERC rule negative or positive D-dimer, ultrasound legs. If negative, CT or VQ.
http://tinyurl.com/5ybxd2