DynaMed - Case Scenario #3 - Comparing Clinical Prediction Rules for Likelihood of Pulmonary Embolism

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#3 Comparing Clinical Prediction Rules for Likelihood of Pulmonary Embolism

Mr. Y, an obese patient with a history of cigarette smoking and controlled hypertension, is planning two international flights over the next 3 months. The internist is concerned about Mr. Y’s medical history and sedentary lifestyle.

What is his risk for deep vein thrombosis and/or pulmonary embolism?

Search:

• Pulmonary Embolism or PE, or
• Deep Vein Thrombosis or DVT, then
• Related Summaries, then
• Pulmonary Embolism

Select Diagnosis from the Table of Contents or scroll through text

Read

• Making the Diagnosis, then Clinical prediction
• Click on Clinical prediction of likelihood of pulmonary embolism
• Select Pisa model from Table of Contents or within text.
• Read Evidence for Pisa model without chest x-ray
• Go to Online calculators and click on PISAMODEL2.

The internist notes the most valid evidence for assessing the likelihood of PE and uses the Pisa model for prediction.