Scenario 2.1

Pulmonary Embolism

1

ECG

2

Chest X-ray

3

CT Angiogram ChestFilling defect in the right main pulmonary artery consistent with PE.

4

Ultrasound Left Lower ExtremityDecreased compressibility of the popliteal vein consistent with DVT

5

Complete Blood Count

6

WBC 6.0 3.5-11 x 109/L

HGB 8.2 11-15 g/dL

HCT 25.4 30-43%

PLT 226 150-450 x 109/L

Basic Metabolic Panel

7

Glucose 99 65-100 mg/dL

BUN 10 5-20 mg/dL

Sodium 141 136-145 meq/L

Potassium 3.8 3.5-5.5 meq/L

Chloride 101 100-106 meq/L

CO2 10 22-32 meq/L

Creatinine 1.1 0.2-1.4 mg/dL

Coagulation Panel

8

PT 13.5 11.0-15.0 s

INR 1.0 0-4.0

PTT 28.0 24.0-36.0 s

9

UrinalysisClarity clear

Color yellow

Glucose negative negative mg/dL

Bilirubin negative negative

Ketones 1+ negative mg/dL

Sp. grav. 1.050 1.003-1.050

Blood negative negative

pH 5.2 5.0-8.0

Protein negative negative mg/dL

Urobilinogen negative <0.2 EU/dL

Nitrites negative negative

Leukocytes negative negative

Urine Pregnancy Test

10

Urine HCG negative

D-dimer

11

D-dimer positive