ACES – Clinical Case 1
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Question 1 of 5
1. Question
Is immediate thrombolysis indicated?
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Question 2 of 5
2. Question
You consider further investigations.
Which investigations would be of benefit in reaching a definitive diagnosis of PE if that was her condition?
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Question 3 of 5
3. Question
Your patient responded to a bolus of 500ml colloid. You have decided upon a CT Pulmonary Angiogram, but just before transport to radiology she deteriorates, dropping her systolic blood pressure to 60mmHg and becoming semi-conscious. You wonder about immediate thrombolysis. Is this indicated?
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Question 4 of 5
4. Question
At this point your SpR arrives in the resuscitation room. She has just completed an ultrasound course. She suggests an immediate point-of-care ultrasound examination.
Which of the following findings would be of consistent with a diagnosis of a massive PE?
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Question 5 of 5
5. Question
The SpR carries out an ultrasound scan of the patient’s heart. What are the findings?
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