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Pulm embolus, answers to Dr Eun's ?s From: David and Valerie Buck (dnvbuck@rof.net) Wed Sep 11 21:18:54 1996 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Betsy Hyde: "Re: Incidence of hyperemesis" Previous message: cj7620@cub.uca.edu: "New to the list." >>>My questions are: >>> >>>How often does PE cause fever? >> >>Fever is neither sensitive or specific. The classic triad is dyspnes, chest >>pain and hemoptysis and is seen (all 3) in about 20%. Fever > 37.8 was seen >>43% of the time in a large EPET study JAMA 1974; 229(12)1606-13. >>> >>>How do you prove that fever is caused by septic pelvic thrombophlebitis in a >>>given patient? >> >>Blood cultures. >>> >>>Doesn't PE deserve coumadin or long-term SQ heparin therapy regardless of >>>fever? >>Coumadin is recommended for reversible risk factors X 6 weeks and up to 6 >>mos if secondary to idiopathic venous thrombosis. (see NEJM March 14, 1996 >>p677-684 and editorial NEJM June 22, 1995 p.1711 & CHEST (108)4:Oct 1995, >>supplement for more info) >>> >>>Paul H. Eun, M.D. >>>Puyallup, WA >>> > >PE is common and frequently missed (in OB it is the most common cause of >meternal death, see thrombosis prophylaxis in OB?GYN Brit. J of OB and GYN, >Jan 1993 (100) 37-40)whereas septic pelvic thrombophlebitis must be rare or >exceedingly uncommon. >Risk factors for DVT: defic of Protein c&s or antithrombin, PREGNANCY or >recent childbirth, use of oral contraceptives or high homocysteine levels. >>> >>dnvbuck@rof.net >>David S. Buck, MD, MPH >>Roaring Fork Family Physicians >>85 Parkside Lane >>Carbondale, CO 81623 >> > >dnvbuck@rof.net > > --------End of Unsent Message > dnvbuck@rof.net Next message: Betsy Hyde: "Re: Incidence of hyperemesis" Previous message: cj7620@cub.uca.edu: "New to the list."

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