DVT/PE - What I Teach

[@ConanLiuMD]

Low risk, intermediate risk, and high risk don’t necessarily correspond to the prior classifications of nonmassive, submassive, and massive PE but as a simplified framework that is how I presented it here. Really the biggest thing to do is differentiating low/intermediate risk submassive PEs from high risk submassive PEs. Just a quick little disclaimer! :)

[@debigdogk9563]

This has been very helpful. I have always learnt something from your videos. Thank you for teaching, and may God bless you for sharing your knowledge ❤❤❤❤❤❤

[@miimimickey78]

love your videos!!! So educational and inspiring

[@jingcliu]

Good review, definitely will be showing this to my residents. BTW the D sign refers to the appearance of the LV in a short axis view

[@jiachangchen9167]

Thank you for making these amazing videos .

[@ashenone3575]

8:08 Isn't the other way around? 4

[@iCanonKiD]

Great video! Can you make a video on step 2ck? Tips? Personally what you would've done differently? Thank you!

[@ConanLiuMD]

Hmm it’s been a while since I took step 2ck - I mainly would have just focused on doing more questions earlier as that’s really the best way to prepare for these tests. Tbh when I took it, our Step 2CK didn’t matter that much so I didn’t prep that hard for it. I know for you guys it’s a lot bigger of a deal though since Step 1 is pass fail now! But really just start doing questions early is my biggest advice!

[@debigdogk9563]

If I can just ask you Conan, please what does it mean to have a clinical suspicion?? Is it when a doctor just “suspects “ that it is likely the cause ? OR is there a criteria to fulfil before we can say there is a high or low clinical suspicion. Please help 😊😊😊😊😊

[@ConanLiuMD]

Haha yeah for sure! To be honest it really is just the doctors “feel” for how likely a certain diagnosis is. Other than that there aren’t really any defined criteria for clinical suspicion. We do use something called the likelihood ratio however that helps us increase or decrease our suspicion for a diagnosis based on different tests we do!

[@debigdogk9563]

Thanks Conan for the reply, it really makes sense now. Thank you ❤❤❤❤❤❤

[@Kareemo227]

I've heard Homan's sign is obsolete due its risk of sending pulmonary emboli, is this true?

[@ananananana627]

Thank you!

[@GMDMD]

I can't remember the last time I actually calculated a Well's. In practice (when not under the threat of being pimped) it comes down to gestalt +/- dimer. I find the PERC rule to be a better mental checklist to run through when I'm pretty sure I'm being overly paranoid about a low risk PE.

[@debigdogk9563]

This has been very helpful. I have always learnt something from your videos. Thank you for teaching, and may God bless you for sharing your knowledge ❤❤❤❤❤❤

[@debigdogk9563]

This has been very helpful. I have always learnt something from your videos. Thank you for teaching, and may God bless you for sharing your knowledge ❤❤❤❤❤❤

[@debigdogk9563]

This has been very helpful. I have always learnt something from your videos. Thank you for teaching, and may God bless you for sharing your knowledge ❤❤❤❤❤❤

[@debigdogk9563]

Hi Conan Just a question please. What do you mean by “to have a low suspicion “ before you can calculate the wells score. Does low suspicion mean - if the doctor just think 🤔, this is not a PE or is there a set of criteria for “low suspicion? Please help if you can to answer. Thank you 🙏 🙏🙏🙏🙏