Pregnant lady with suspected Pulmonary Embolism; V Q Scan or HCTPA - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     Members     Posts
Home
USMLE Articles
USMLE News
USMLE Polls
USMLE Books
USMLE Apps
Go Back   USMLE Forums > USMLE Step 2 CK Forum

USMLE Step 2 CK Forum USMLE Step 2 CK Discussion Forum: Let's talk about anything related to USMLE Step 2 CK exam


Reply
 
Thread Tools Search this Thread Display Modes
  #1  
Old 04-01-2011
1TA2B's Avatar
USMLE Forums Guru
 
Steps History: CK Only
Posts: 475
Threads: 39
Thanked 353 Times in 169 Posts
Reputation: 376
ObGyn Pregnant lady with suspected Pulmonary Embolism; V Q Scan or HCTPA

Hi Guys!

A 7 month pregnant lady with clinical features and ECG suspecious of PE. What confirmation test you would proceed?

CTPA or V/Q scan?
__________________
Skill+Hardwork+Preparation=Success
To view links or images in signatures your post count must be 10 or greater. You currently have 0 posts.

Reply With Quote Quick reply to this message
The above post was thanked by:
Haisook (04-05-2011)



  #2  
Old 04-01-2011
USMLE Forums Scout
 
Steps History: 1+CK+CS
Posts: 14
Threads: 4
Thanked 0 Times in 0 Posts
Reputation: 10
Default

CTPA...
Reply With Quote Quick reply to this message
  #3  
Old 04-03-2011
1TA2B's Avatar
USMLE Forums Guru
 
Steps History: CK Only
Posts: 475
Threads: 39
Thanked 353 Times in 169 Posts
Reputation: 376
Default

Quote:
Originally Posted by gastro_dr View Post
CTPA...
Yes. That was my answer too.

According to FA, it quoted

"v/q is currently considered the diagnostic modality of choice in the pregnant population".

To my knowledge, radiation exposure to baby is higher with V/Q.

Any one, any comments?

Thanks in advance
__________________
Skill+Hardwork+Preparation=Success
To view links or images in signatures your post count must be 10 or greater. You currently have 0 posts.

Reply With Quote Quick reply to this message
 
  #4  
Old 04-04-2011
Ex-USMLE Forums Staff
 
Steps History: 1+CK+CS+3
Posts: 753
Threads: 106
Thanked 2,183 Times in 464 Posts
Reputation: 2231
Default

Traditionally it has been thought that HCTPA has more radiation exposure than V Q scan but that trend is recently changing and HCTPA is becoming more and more the modality of choice.

For more information read this quick article
http://www.medscape.com/viewarticle/572631
Reply With Quote Quick reply to this message
The above post was thanked by:
us1us (04-05-2011)
  #5  
Old 04-05-2011
1TA2B's Avatar
USMLE Forums Guru
 
Steps History: CK Only
Posts: 475
Threads: 39
Thanked 353 Times in 169 Posts
Reputation: 376
Default

Quote:
Originally Posted by lee-usmle View Post
Traditionally it has been thought that HCTPA has more radiation exposure than V Q scan but that trend is recently changing and HCTPA is becoming more and more the modality of choice.

For more information read this quick article
http://www.medscape.com/viewarticle/572631
Thanks Lee-usmle for useful link
__________________
Skill+Hardwork+Preparation=Success
To view links or images in signatures your post count must be 10 or greater. You currently have 0 posts.

Reply With Quote Quick reply to this message
  #6  
Old 04-05-2011
Medtobe's Avatar
USMLE Forums Scout
 
Steps History: 1+CK+CS
Posts: 26
Threads: 2
Thanked 72 Times in 21 Posts
Reputation: 82
Default from obstetric book

Yes, V/Q is not used as much any more.
Here is was both my Beckman Ob and Kaplan lecture notes for OB say:

1- Spiral CT scan is the best initial test
2- Pulmonary Angiography is the most definitive and is most commonly done if you do a spiral CT and it is negative while you have high suspicions (symptomatic, and high risk)
__________________
Carpe Diem
Reply With Quote Quick reply to this message
The above post was thanked by:
healer2b (04-05-2011)
  #7  
Old 04-06-2011
1TA2B's Avatar
USMLE Forums Guru
 
Steps History: CK Only
Posts: 475
Threads: 39
Thanked 353 Times in 169 Posts
Reputation: 376
Default

Quote:
Originally Posted by Medtobe View Post
Yes, V/Q is not used as much any more.
Here is was both my Beckman Ob and Kaplan lecture notes for OB say:

1-Spiral CT scan is the best initial test
2- Pulmonary Angiography is the most definitive and is most commonly done if you do a spiral CT and it is negative while you have high suspicions(symptomatic, and high risk)
Thanks Medtobe

Useful!

I'm now pretty confident dealing with ?PE in pregnancy!
__________________
Skill+Hardwork+Preparation=Success
To view links or images in signatures your post count must be 10 or greater. You currently have 0 posts.

Reply With Quote Quick reply to this message



Reply

Tags
ObGyn-

Quick Reply
Message:
Options

Register Now

In order to be able to post messages on the USMLE Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
Password
Please enter a password for your user account. Note that passwords are case-sensitive.
Password:
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:
Medical School
Choose "---" if you don't want to tell. AMG for US & Canadian medical schools. IMG for all other medical schools.
USMLE Steps History
What steps finished! Example: 1+CK+CS+3 = Passed Step 1, Step 2 CK, Step 2 CS, and Step 3.

Choose "---" if you don't want to tell.

Favorite USMLE Books
What USMLE books you really think are useful. Leave blank if you don't want to tell.
Location
Where you live. Leave blank if you don't want to tell.

Log-in

Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.



Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes


Similar Threads
Thread Thread Starter Forum Replies Last Post
Pulmonary Embolism, what's the next step? 3abass USMLE Step 2 CK Forum 2 06-05-2011 10:12 PM
Post-op atelectasis vs Pulmonary embolism Haisook USMLE Step 2 CK Forum 1 04-03-2011 07:07 AM
Initial imaging choice in suspected renal colic Haisook USMLE Step 2 CK Forum 15 03-30-2011 07:43 AM
Management of suspected mitral valve prolapse (MVP) Haisook USMLE Step 2 CK Forum 5 02-19-2011 11:58 AM
ECG in Pulmonary Embolism Homer88 USMLE Step 2 CK Mnemonics 0 03-19-2010 10:56 AM

RSS Feed
Find Us on Facebook
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2017 DragonByte Technologies Ltd.

USMLE® & other trade marks belong to their respective owners, read full disclaimer
USMLE Forums created under Creative Commons 3.0 License. (2009-2014)