Pulmonary Embolism PART I (Overview)

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[@202triciae]

Not mine....after 2 weeks of walking around with short of breath, stuffed up, ...by time I finally called 911...I was in ICU with both lungs with small clots. After checking history, 50, on birth control 10 years, non smoker, estrogen causes thickened blood. And my blood was sent out to get tested. Iv heparin, 7 days, abgs, daily and another week srep down, coumadin for 7 months, back to work in 30 days. Yes on the tachycardia resting heart rate 140. Blood pressure very low, when first brought to ER treated with nitro, asthma, panic, then thank goodness ER md let's do a lung scan ct. The pulmonary md wanted me in ICU, he said she was going to crash, what he told my daughter. And in the ICU I did drop to BP of 70 over 50. Pushed iv fluids, and cray does not show clots. You need a CT scan. I was lucky the colts broke up small but all over. Pulse ox 88.

[@MichaelsUgly]

pe -> pulm HT -> 1)enlarged pulm artery 2) infarction -> wedge-shaped opacity -> ipsilateral reduction lung volume -> 3)ipsilateral elevated hemidiaphragm 4) pulm effusion

[@69DUDLEY]

Your artwork is just the Best , further more your voice and explanation is my new gold standard your just a joy to watch and your flow is magic I don’t comment often but as a student I like it

[@rollinstn9377]

I love your videos, they're amazingly helpful. I've been watching them for over a year now, and I was wondering if you could please do one about the Urea Cycle. It would really help me to more accurately comprehend some patients' desnutrition symptoms. Thank you for all the great work!

[@bomhayhay]

Thank you for sharing these lectures. It is very helpful and easy to understand.

[@PomelloRBLX]

23 years old and just had one a week ago. Had extreme chest pain and shortness of breath and after some scans from a stand-alone ER I was rushed to the hospital and spent a week there. My resting heart rate was 148 BPM. They were considering going in the vessel and pulling the clots out but decided not to after my heart rate and blood pressure stabilized. Suspect that it came from a vessel in my leg after pulling a muscle. On Coumadin right now but still a bit concerned because the clots won’t go away for a few months.

[@xXAnthony619Xx]

Sir, your animations are amazing. I've seen many similar channels on KZbin and they just don't have the amount of depth and detail at the molecular level that you illustrate. Seriously thank you for the content.

[@donna1420]

fabulous video i suffered a P.E recently this has been very helpful

[@anastasianikitina6135]

Amazing painting! Thank you!

[@haim137]

Thank you! i love you man!

[@scotthowes6560]

I had this 4 week's ago, had cramping pain back of my knees for 6 week's! I started struggling for breath and couldn't walk more than 10metres! I was driving home from work and last minute I pulled off the motorway and went to hospital.. next minute i'm on resus being told i'm not allowed to move due to having 100s of clots in my lungs! One big one at 19.3mm .. i was in hospital for 5 day's and back at work within a 2 week's .. still feel rough but getting better .. im 50 year's old.. great video!

[@scotthowes6560]

My heart rate was 228/154 oxygen was 78 and temperature was 30 when I entered the hospital.. the doctor said if I never went to hospital I could have died that night!

[@TheSluremus]

My mother died from PE, and I'm trying to sort out how it all happened. This is invaluable information on the condition. Thank you so much.

[@harmianaaa]

May she rest in peace.

[@TheSluremus]

@@harmianaaa Thank you. I very much appreciate that.

[@agutierrez342]

🙏🏻❤️

[@zubia740]

My mother also died from this according to doc after liver transplant wound debarment surgery

[@wesleyogilvie8105]

I like this video a lot! So much detail!

[@ambydaly5713]

I had none of those symptoms. I had just ridden my bike for approximately two miles . Got of my bike to walk up a short slope which I normally did because off my pacemaker. As soon as I stepped off the bike I went straight down onto the cycle track. Fortunately a security camera showed this event and the operator phoned the ambulance and came directly to my aid. A ct scan showed the clots later at A&E. Within five days I was home after blood thinners treatment. This episode happened just ten days after first covid vaccine. No previous trauma?

[@shelleydaly1726]

I too suffered a massive saddle PE about 10/14 days after a covid vaccination. No other risk factors. In fact I was so low risk I was initially diagnosed with a chest infection at the hospital and sent home. 3 days later my GP found it and sent me right back. I’m on thinners for life and have been told never to have another vaccine

[@IM.MEDICAL]

Loving this video!

[@adiormawien7811]

Thank you for making it so easy to understand.

[@theroseyoukept]

THIS VIDEOS ARE AMAZING! Thank you so much for your work

[@AmaniSamkari]

love your videos so much helpful

[@gueralma]

Love your videos!

[@harmianaaa]

Great effort!

[@rdjokovic87]

Awesome video is it possible that you do video on ARDS please. Thanks.

[@andreafigueroa4337]

thank u so so much, this made things so clear!!!

[@vesselofpeace]

U sir r amazing! Thank you!

[@SeamusMcMichael]

Excellent tutorial!

[@shivalingatalekar3467]

super and thank for sharing this topic in good and understanding way

[@rosyralte168]

Thank you for the video... It helps me alot

[@lorenasammartino5590]

You are my personal hero!

[@richardnolan9562]

I don't know who you are dude you are a phenomenal artist I watched a few already I'm concerned about my girlfriend mother of my children future ex-wife that's a joke your explanation for phenomenal way better than most of the other professionals that I've seen you doing what you doing you rock

[@RunaholicAxomiyaDipam]

sincere gratitude

[@benselamamohsen9809]

you are always wonderful ... i got it with you thanks

[@pritisahu7895]

thank u sir..thank u so much for this video

[@GastroGut]

thank you so much.. 👌 👌 👌.. awesum explanation

[@mirajanestrauss9964]

i quite liked the part where u explain hypocapnia and hypoxemia

[@praneethchadalavada]

release part 2 as soon as possible

[@XxShmABIxX]

Can anyone expand on the inflammation surrounding the embolism and what effects this has?

[@BlueSky-wn2ox]

Can i now what is the mechanism of elevated hemidiaphram? Thanks for the video it’s magnificent

[@caafimaad7675]

we will be glad to see you on our channel🙌

[@jamaicalynneramos2159]

Thanks, I'll be able to finish my pathophysiology.

[@prashantdwivedi206]

simply the best

[@etomidateem222]

thanks mate. it is useful

[@jatidev]

Very nice

[@olegbokhonko6592]

Nice drawings!

[@supernehas14]

do you have any videos on the clotting cascade?

[@canicekosi9723]

This ia good. Really good

[@sravanipeddireddy1967]

Nice explanation

[@joshua01793]

my SO just got addmited to hopsteal with a suspected Pulmonary Embolism. im panicing but being able to understand helps a lot. thanks it means a lot.

[@arsh252]

What happened 🙄

[@sherazmemon8068]

This says clumping of rbcs as i have read that thrombus is platelets clumped together in fibrin

[@nipingeorge067]

Really nice, but sorry to tell u that there is a mistake in last past ecg/ekg s1q3t3 , in lead 1 the R wave you draw is actually the S wave and the Q u draw is the R wave

[@amarlebe]

that's right , by definition , the Q wave is the first negativ wave of a QRS complex , the R wave is the first positiv Wave of a QRS complex and finally the S wave is the first Negativ wave after a positiv one

[@nehayaabusuis619]

Amazing!!!!!!!

[@joydebsingha6653]

Great job!!!!! #Medschooldiscussion

[@abrouch14]

Can you please explain why there's a diaphragm elevation?

[@tomanhtung5546]

Tks for your lesson😉 But, at 12min38s, you possibly named incorrect Q and R wave in first QRS complex.

[@mousabsalem1001]

Hight chest resoultion can do a techneque ....... rather than embolousm premontoring pla pla pla and do region of intredted (rio)

[@nonyabiness4023]

I just found out I had 2 pulmonary embolism in my lungs. No DVT or signs of clots in my legs. I finished chemotherapy 5 months ago. Nothing else seems to be the cause of the PE! I hit a deer on the highway and they found the PE by chance! That deer saved my life

[@naserpalistine6357]

hi guys just a littel advice before you study the pulmonary embolism just go and watch the deep vein thrombosis also from the amazing vedio of dr armando

[@aa4818280]

thanks for your efforet

[@THECUBER108]

Isn’t the S wave the second downwards deflection after the Q wave? and the R wave is the upwards deflection?

[@houriaderardja4689]

wowww very interesting thank u very muchhh

[@FlyingTigress]

Great explanation. I had a DVt that broke and created a PE last year.

[@hariteja9185]

How is your health present ,

[@FlyingTigress]

@@hariteja9185 With respect to the PE? A minor reoccurrance early this year. Cleared up by starting a new med.

[@hariteja9185]

@@FlyingTigress oh nice, recently my dad affected by PE ,now he was alright, but there were still some complications like shoortness in breath and blacking out during walking,so I afraid about this ,after hearing that a person recovered by PE ,it seems not that much dangerous when diagnosed quickly 👍 ,thank you ❤️❤️

[@FlyingTigress]

@@hariteja9185 I have a genetic blood clotting issue - discovered when I went into the hospital back then. Clots form too easily, so, I just have to be mindful of sitting for extended periods of time, long airline flights... and make current medical providers aware before I go into surgery for a different issue.

[@hike1235]

Eg for conditions having high po2 & low pco2 ?? Sir

[@jeetthakkar8505]

Thankss

[@MichaelsUgly]

recanalization= body heals thrombus -> reestablish blood flow

[@Maryam-xm5yr]

I wish I could have those drawings and explanations as my notes You should print video you have made as a book

[@user-qv4dq7so6p]

Perfctooo😍😍😍😍👍🏻

[@user-ce3qp6gi2f]

Hi~anyone can explain why V/Q mismatch cause hypocapnia instead of hypercapnia?

[@phoneicad1887]

I was doing emergency medicine duty today and one patient of mine died today because of this 😢

[@anbuk.4219]

Thank you sir it's very helpful.would please change the writing style?

[@empressizm]

where can I buy these pictures

[@shilpikumari9784]

How pE cause inflammation?

[@susandean2756]

Great!

[@carlosfrostygreen6855]

Is this permanent for adults like parents?

[@arunimasamir7541]

Why raised hemidiaphragm ? Please explain

[@bhavinpatel3720]

part 2 ?

[@lilingzhou6120]

where is the inflammation at ? and causes what to release cytokines

[@landonholt7961]

You have ischemia and tissue death. Where there is tissue death, you see an immune response, and release of these cytokines.

[@dorukkalfaoglu9684]

is the last EKG explanation correct? Q is showed as an + Wave in the first derivation.

[@THECUBER108]

No, after the Q wave (first downward deflection) the upwards deflection is always R wave and next downward deflection past the Isoelectric line is S wave.

[@wa_3315]

everything you have explained is great except that it is hard to read your handwriting sometimes . Thank you

[@manaswanimishra5262]

please please please upload hemodynamics

[@MrGean83]

Can no gallbladder raise the risk?

[@doctorvai0]

how does right ventricular failure causes dropping bp?

[@kipkipour4507]

I had the same question... I think that the increased afterload (due to pulm. embolism) will increase the b.p. at first. After a lot of time, the hypertrophy of the right ventricle (trying to produce enough tension to outpower the increased afterload) will cause secondary mechanism that will lower right ventricles contractility and thus a lower b.p. But still, doctor Hasudungan knows much more than me, so maybe I am wrong... Or maybe he skipped a few steps...

[@tinkysweet7873]

The back flow is due to the emboli or due to increase in pressure on the pulmonary vessels ? am unable to understand why there is increase in the pulmonary vascular pressure , could this be a response to the pulmonary emboli which decreases the amount of blood flowing into the pulmonary vessels , hence as a response the pressure arises to cause this increase , Also increase in the pressure on the right side of heart , is it due to the emboli or due to the reverse flow of blood which will lead right ventricular overload , and as such the heart will have to pump harder hence leading to the increase in the pressure on the right side of the heart , and this will then be a lead of right sided heart failure or could it be both situations leading to this.

[@kipkipour4507]

I had the same question... I think that the increased afterload (due to pulm. embolism) will increase the b.p. at first. After a lot of time, the hypertrophy of the right ventricle (trying to produce enough tension to outpower the increased afterload) will cause secondary mechanism that will lower right ventricles contractility and thus a lower b.p. But still, doctor Hasudungan knows much more than me, so maybe I am wrong... Or maybe he skipped a few steps...

[@nanitesfaye3057]

I am a 35 yeasr old female patiant in PE

[@FootyFrenzyHD]

Quite certain I have pulmonary embolism. Got intense chest pain that is radiating down My arms and and my left calf feels like it has a pulled muscle. my GP keep saying it anxiety and wont do any tests. I'm debating whether or not I should go to the hospital or not but I don't think they will listen since I'm only 22. I don't think I have much longer left to live.

[@wistolla]

How are you doing now mate ?

[@hamdasaid4162]

Goooooooood

[@StayPuft80]

I've had one of these due to DVT Funny thing is I went to the doctors with a swelling in the leg and he put it down to a in grown hair. A week later I woke up and couldn't breath. Very interesting video to actually know what happened

[@arsh252]

Was the pain in side of leg or in calf? I hv swelling on side surface of leg

[@skinjamamulhaque6000]

How right sided heart failure can cause decrease in systemic blood pressure??

[@bogdanfota4686]

It loses its ability to pump blood, therefore less blood to the lungs, which basically means less blood to the left atrium -> left ventricle.

[@VellianoRosso]

In the Netherlands Radiologist Oudkerk found higher d-dimers and faster breathing in Critical Covid-19 patients.

[@arivazhaganlekha5523]

Tell me best hospital to my mom get affected she is in serious conditions

[@arivazhaganlekha5523]

Pls say best hospital to treat PE tamilnadu my mom get affected pls help me friends

[@jeanjennings5712]

You described precisely what happened to my loved one.

[@lenaalsaleem3769]

Thank you, but I have a question why inflammation is produced while there are no foreign particles invaded?

[@mikeyandpattirucker5999]

I do not fit any of the stereotypes but I have PE. They tell me it was a vein in my abdomen. No one can understand. I don't.

[@soomanjun8687]

is there any chance that i can have the note you drew?

[@abdulazizbota]

Waw

[@nawarsabah5778]

VQ used when we lack all off option to determine pe , I think

[@user-iy5sp7nj8w]

Переводчик бы, но ничего придется напрячься

[@MichaelsUgly]

Pe s1q3t3 -> deep s on v1, deep q and t v3

[@magnificenttruthseekingque403]

I’m 36 and I have a huge varicose veins on my right thigh just had a baby in January I’m concerned 😦

[@bogdanfota4686]

Only the first six weeks post-pregnancy present a high risk, so it should be fine.

[@alexchancock]

There is to much emphasis on some of the potential complications of PE. It's misleading. Just focus on the complications of an emboli on the move and the anatomical complications of a clot in a narrowed space. The right side heart failure and cytokine info is waffle.

[@youlisted1237]

Hello “Armando Hasudungan”. The number of your videos, subscribers and views has been updated today by the team of YouListed.

[@kumarsharma1027]

I want to discuss with you for my son who is suffering from PE

[@arsh252]

@@kumarsharma1027 what happened 🙄

[@neerajyadav-bh4pr]

Only 50 percent dvt cases can develop pe

[@needanit]

I am medical student and this video is wrong in term of few risk factors and has narrow field of view.