Symptoms of PE are a sudden shortness of breath; wheezing; cough with or without blood;
sharp pain in the chest, arm, shoulder. The individual appears clammy or pale. PE affects
individuals who are inactive for a long period of time, a family history of clotting issues,
medical history of heart conditions, obese, etc. (Cleveland Clinic Foundation, 2018). PE is
diagnosed or detected by CT scan which can reveal abnormalities in the chest or other
organs. A d-Dimer test can diagnose thrombosis, pulmonary angiogram to reveal blood clot
in the lungs blood tests, and an MRI. Based on patient symptoms, PE is the more likely
diagnosis.
2)
Deep Vein Thrombosis (DVT) is when a blood clot forms in a deep vein, usually in the
lower portion of the body such as, leg, thigh or pelvis but blood clot can form in other parts
of the body (Centers for Disease Control and Prevention [CDC], 2018). Individual can be
asymptomatic however, most common symptoms are swelling, pain, tenderness, redness,
warmth of the skin on the affected leg (CDC, 2018). DVT is diagnosed through special tests
such as ultrasound, d-dimer, venography where a dye is injected into the veins, an x-ray
creates an image of the veins to look for clots, CT or MRI scans and medications are used to
prevent and treat the condition (CDC, 2018). This is definitely a potential diagnose, DVT
often can lead to PE if the clot breaks off the vessel and travels into the bloodstream to the
lungs (CDC, 2018).
3)
Pulmonary Arterial Hypertension (PAH) occurs when there is an obstruction in various
small pulmonary arteries (Austin, Loyd, & Phillips, 2015). Due to number of obstructed
vessels that leads to an increase in resistance of blood flow to the lungs, which leads to the
right ventricle chamber of the heart to compensate for the blockage by causing higher

pressure to maintain blood flow to the lungs (Austin, Loyd, & Phillips, 2015). Problems
start to arise when the right ventricle can no longer aid for the resistance. Symptoms of PAH


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- Summer '15
- Pulmonary Arterial hypertension