Coronavirus (Covid-19): Latest updates and information
Skip to main content Skip to navigation

Respiratory: chest pain





What risk factors increase the chance of this condition?

What would be the most appropriate way of confirming the respiratory diagnosis?

  • Reversed using protamine sulphate
  • Acts on anti-thrombin III
  • Is taken as a tablet
  • Works by inhibiting vitamin K reductase, necessary for clotting factors 10, 9, 7 and 2.
  • Reversed by giving vitamin K, fresh frozen plasma or prothrombin complex concentrates
  • Acts on the extrinsic pathway of coagulation
  • Monitored by measuring the prothrombin time (which is standardised as INR)
  • Is given as an injection
  • Causes problems in pregnancy
  • Is potentiated by alcohol
  • Monitored by activated partial thromboplastin time (APTT)
  • Acts on the intrinsic pathway of coagulation

After being admitted for several hours (mostly waiting for the investigation to be done), she admits that she thinks that it is odd that she developed this condition, and she asks if there are any underlying problems that could have set it off?

Kathryn is discharged later that day, not too happy about having to take warfarin and attend the anticoagulation clinic (which involves blood tests of which she is not keen on), and to make matters worse she has to see the GP about alternative contraceptive measures. What would be the best contraceptive option to advice to Kathryn?

 
Kathryn is discharged and lives happily ever after as the GP appropriately manages her contraceptives whilst the anticoagulation clinic vigilantly monitors her INR and warfarin dosing. She also saves a bundle as she is unable to drink.
 
Privacy statement
This quiz is anonymous. No data which personally identifies you is collected on the quiz, and the data you provide is used solely to help us improve the delivery of our courses.
Spam prevention


DVT

Notice the right leg is swollen and redder than the left, consistent with a DVT. © National Blood Clot Alliance.

Association between DVT and PE.










CTPA

CT pulmonary angiogram (CTPA) demonstrating intraluminal filling defects in the pulmonary arteries indicative of PE. © 2004 AuntMinne.com.







VQ 1

VQ2

VQ scan. Image A shows ventilation whilst image B shows perfusion. There is a clear mismatch between ventilation (V) and perfusion (Q), which is indicative of a PE. © 2004 Patrick Reinartz.