Cement Pulmonary Embolism Pulmonary | Medical Algorithm

Are you evaluating a patient who has undergone orthopedic surgery?

Yes

Was orthopedic cement (polymethyl methacrylate) used during the procedure?

Yes

Was surgery done in an area where there can be significant venous cement leakage?

Yes

Was orthopedic cement injected under high pressure?

Yes

Does a postoperative chest X-ray show one or more dense opacities in the lungs?

Yes

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Number of findings that can be seen in patients with an orthopedic cement pulmonary embolism

Should an orthopedic cement embolus be considered in this patient?

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Clinical Diagnosis, Including Family History For Genetics
- YEARS Algorithm for Suspected Pulmonary Embolism in ED
Laboratory Tests
- Prediction of Clinical Outcome After Pulmonary Embolism Using Pro-Brain Natriuretic Peptide (preBNP) and Troponin T Concentrations
- Risk Models of Binder et al for Acute Pulmonary Embolism Based on Echocardiography, NT-proBNP and Troponin T
Other Testing
- PERC Rule - Pulmonary Embolism Rule-Out Criteria (Charlotte Criteria)
Criteria For Diagnosis
- The Clinical Score of Wicki et al for Determining the Probability of a Pulmonary Embolus in the Emergency Department (Geneva Score)
- PERC Rule - Pulmonary Embolism Rule-Out Criteria (Charlotte Criteria)
Severity, Prognosis, Stage
Complications

Therapy

Selection
- Pulmonary Embolism Severity Index (PESI) of Aujesky et al

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Specialty

Objective

ICD-10

Pulmonary Embolism with Orthopedic Cement Following Surgery

Purpose: To evaluate a patient for orthopedic cement pulmonary emboli following surgery.

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Specialty

Objective

ICD-10