Diagnosis of pulmonary embolism

In the diagnosis of pulmonary embolism, the physician must know not only the proper procedures for examination, but also the specific pathological factors that characterize the disease's definitive stages. Stages III and IV of the disease exhibit, for the first time, through electrocardiogram (EKG) and echocardiogram results, arterial blood gas analysis and pulmonary artery pressure, a specific pathological change. In Stages I and II, specific clinical parameters, anamnesis, certain predisposing factors and diseases, and a combination of symptomatic features and examination results sum to a presumed diagnosis. It is only through the application of scintiscanning and angiography that a conclusive diagnosis can be reached. Whether this particular medical regime was followed in hospitals, was previously not known. It was with this clinical study, Lungenemboliestudie, conducted by a group with the same name, that this information became available. in a prospective examination of 1,001 patients in 240 clinics, ii was found that a diagnosis became stage-specific in Stages III and IV of the disease. With worst-case fulminant lung emboly, long diagnostic procedures (e.g. scintiscanning and angiography) are, most times, eliminated. Time being of critical importance, a fully comprehensive array of diagnostic test is not called for, instead an expedient course of specific treatment is begun.