Clinical diagnosis of pulmonary embolism: validity of a score system and its correlation with therapeutic choices in a case series of 51 patients

The Authors have used, on a group of 51 patients, a score-system for the clinical diagnosis of pulmonary embolism. This system is based on clinical examination of the patients and utilizes a different value for each sign and symptom: each sign and symptom correspond to a positive number. Every patie...

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Bibliographic Details
Published inGiornale di clinica medica Vol. 71; no. 8-9; p. 507
Main Authors Rosselli, A, Landini, G, Mugnaini, C, Piani, F
Format Journal Article
LanguageItalian
Published Italy 01.08.1990
Subjects
Diagnosis, Differential
Electrocardiography
Female
Humans
Male
Middle Aged
Pulmonary Embolism - diagnosis
Pulmonary Embolism - diagnostic imaging
Radiography
Radionuclide Imaging
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Summary:The Authors have used, on a group of 51 patients, a score-system for the clinical diagnosis of pulmonary embolism. This system is based on clinical examination of the patients and utilizes a different value for each sign and symptom: each sign and symptom correspond to a positive number. Every patients was also undergone instrumental tests to confirm the diagnosis (i.e.: perfusion lung scanning and venous doppler) according to previously defined diagnostic program. A good relationship between the instrumental diagnosis and clinical probability was found with above mentioned score-system. The AA believe that this score-system is valid and that it can be used in elaborating diagnostic decision, particularly in those cases in which the diagnosis is not established by the instrumental tests and in which is not possible to perform pulmonary angiography.
ISSN:0017-0275