Special Clinical Examination Techniques for Common Symptoms and Signs The routine history and physical examination demonstrated above is all well and good when the patient is asymptomatic; however, it is…
The Routine History and Physical Examination After 50 years of practicing medicine, the author has discovered many productive and time-saving methods in taking a history and performing a physical examination….
What Do You Do with the Patient with Low Back Pain? A Taking a History of the Patient with Low Back Pain At the risk of repetition of the points…
What Do You Do with the Patient with Thoracic Pain? A Taking a History of the Patient with Thoracic Pain Here again, it is wise to have a list of…
What Do You Do with the Patient with Neck Pain? A Taking a History of the Patient with Neck Pain Rather than interviewing the patient in the traditional way, you…
PE confirmed (n = 1880) (%) PE not confirmed (n = 528) (%) Symptoms Dyspnea 50 51 Pleuritic chest pain 39 28 Substernal chest pain 15 17 Syncope 6 6 Unilateral leg pain…
Fig. 8.1 Fig. 8.2 Fig. 8.3 Fig. 8.4 Table 8.1 Association between in-transit thrombus and embolic events Type Number of patients Associated to DVT (%) Associated to PE (%)…
Abnormal vessel walla Endothelial dysfunction characterized by endothelial cell activation (due to hypoxia, distension, and neurohormonal activation), increased expression of platelet/monocyte adhesion, tissue factor, von Willebrand factor, and thrombin; decreased…
Fig. 2.1 The structure of the fibrinolytic system is shown in this fig. It is possible to observe those plasminogen activators, plasminogen activator inhibitor-1, plasminogen, plasmin, and α2-antiplasmin role in…
Fibrinolytic regimen evaluation Variable Pre n = 40 (%) Post n = 40 (%) p Right ventricular sound 96 5 <0.0001 Shock 15 0 <0.0001 Respiratory rate 33.5 ± 5.7 25.0 ± 4.4 <0.0001 Cardiac rate 108.9 ± 13.1 94.4 ± 8.9…
