PE Physical

PE Physical - erythema tenderness or palpable cord(signs...

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Physical Exam (Physical Findings) Some studies estimate that up to 80 % of pulmonary embolism cases show no discernible signs or symptoms until after lung damage has occurred. Classic symptoms of pulmonary embolism include rapid onset of dyspnea at rest, pleuritic pain, cough, syncope, delirium, apprehension, ta- chypnea, diaphoresis, hemoptysis. Chest pain with apprehension and a sense of impending doom occurs when most of the pulmonary artery is obstructed. Tachycardia, rales, fever, hypotension, cyanosis, heart gallop, loud pulmonic component of S2 (split S2). Calf or thigh pain, edema,
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Unformatted text preview: erythema, tenderness or palpable cord (signs suggestive of deep vein thrombosis). Signs of circu-latory collapse (weak, thready pulse and hypotension), and respiratory alkalosis resulting from hypoxemia. Chest pain and chest wall tenderness along with back, shoulder or abdominal pain are also possible. Low-grade fever is also seen due to the inflammatory process. With a massive embolism patient will experience hemoptysis, cyanosis, syncope, and distended jugular veins caused by vasoconstriction and right-sided heart failure....
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