Template:PE clinical presentation: Difference between revisions

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===Symptoms===
===Symptoms===
''According to the PIOPED II study, these are the most common presenting signs''<ref>Stein PD et al. Clinical characteristics of patients with acute pulmonary embolism: data from PIOPED II. Am J Med. 2007;120(10):871.</ref>
*[[Dyspnea]] at rest or with exertion (75-80%)
Dyspnea at rest or with exertion (73%)
*[[Chest pain]] (66%)
Pleuritic chest pain (44%)
**Pleuritic pain, pain that halts respiration, is only seen in 20% of patients
Cough (37%)
*[[Cough]]
Orthopnea (28%)
*[[Hemoptysis]]
Calf or thigh pain and/or swelling (44%)
*[[Unilateral_leg_swelling|Unilateral calf swelling]]
Wheezing (21%)
*[[Syncope]]
Hemoptysis (13%)
** Syncope is caused by PE <5% of the time


==Signs==
===Signs===
*[[Tachypnea]] (54%)
*[[Tachycardia]] (HR>100), [[Tachypnea]] (RR>20), Hypoxemia (SpO2<95%) are seen ~50% of the time
*Calf or thigh swelling, erythema, edema, tenderness, palpable cord (47%)
*Hypotension (SBP<90) only seen 10% of the time, but largest predictor of mortality
*[[Tachycardia]] (24%)
*Unilateral calf tenderness or edema, suggestive of a DVT
*Rales (18%)
*Other signs may include accentuated pulmonic component of second heart sound, JVD, or decreased breath sounds
*Decreased breath sounds (17%)
*Accentuated pulmonic component of the second heart sound (15%)
*JVD (14%)
*Fever (3%)

Latest revision as of 22:40, 19 April 2026

Symptoms

Signs

  • Tachycardia (HR>100), Tachypnea (RR>20), Hypoxemia (SpO2<95%) are seen ~50% of the time
  • Hypotension (SBP<90) only seen 10% of the time, but largest predictor of mortality
  • Unilateral calf tenderness or edema, suggestive of a DVT
  • Other signs may include accentuated pulmonic component of second heart sound, JVD, or decreased breath sounds