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glossary:pulmonary_embolism

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glossary:pulmonary_embolism [2008/04/12 14:05]
Pat O'Connor created
glossary:pulmonary_embolism [2012/10/16 14:40] (current)
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 +The obstruction of the pulmonary [[artery]] or a branch of it leading to the [[lung]]s by a [[blood clot]], usually from the leg, or foreign material causing sudden closure of the vessel. (Embolus is from the Greek "​embolos"​ meaning plug.) ​
  
 +The risk factors for pulmonary embolism include advanced age, [[cancer]], [[genetic]] predisposition,​ immobilization (especially in the hospital), pelvic or leg [[trauma]], pregnancy, and [[surgery]]. ​
 +
 +The diagnosis of pulmonary embolism can be difficult because the symptoms are nonspecific and may mimic many other [[disease]]s. Pulmonary angiography is the gold standard test. Other tests may include oximetry and arterial blood gas analysis and imaging such as chest [[x-ray]]s and ultrasonography. ​
 +
 +The treatment includes anticoagulants such as heparin and warfarin (Coumadin). About 10 - 15% of patients with pulmonary embolism die.
 +
 +Common Misspellings:​ pulmanary embolism, pulmenary embolism
 +
 +(2) The lodgment of a blood clot in the lumen of a pulmonary artery, causing a severe dysfunction in respiratory function. ​
 +
 +Pulmonary emboli often have origin in the [[vein]]s of the lower extremities where clots form in the deep leg veins and then travel to the [[lung]]s via the venous circulation. ​
 +
 +Symptoms and features include acute onset of shortness of breath ([[Dyspnea]]),​ chest pain (worse with breathing) and rapid heart rate and respiratory rate. Some individuals may have haemoptysis. ​
 +
 +Diagnosis can be made on a ventilation perfusion scan of the lung or on a pulmonary angiogram. ​
 + 
 +
 +**ICD 10 Code**
 +
 +I26.0 Pulmonary embolism  ​
 +  Includes: ​ pulmonary (artery)(vein): ​
 +· infarction ​
 +· thromboembolism ​
 +· thrombosis ​
 + 
 +  Excludes: ​ complicating: ​
 +· abortion or ectopic or molar pregnancy ( O00-O07 , O08.2 ) 
 +· pregnancy, childbirth and the puerperium ( O88.- ) 
 + 
 +I26.0   ​Pulmonary embolism with mention of acute cor pulmonale  ​
 +  Acute cor pulmonale NOS 
 + 
 +I26.9   ​Pulmonary embolism without mention of acute cor pulmonale  ​
 +  Pulmonary embolism NOS  ​
 +
 +**ICD 9 Code**
 +
 +2008 ICD-9-CM Diagnosis 415.1
 +
 +Pulmonary embolism and infarction
 +Embolism in the pulmonary artery or one of its branches.
 +415.1 is a non-specific code that cannot be used to specify a diagnosis
 +View the ICD-9-CM Volume 1 415.* hierarchy
 +
 +415.1 also known as:
 +Pulmonary (artery) (vein):
 +apoplexy
 +embolism
 +infarction (hemorrhagic)
 +thrombosis
 +
 +415.1 excludes:
 +that complicating:​
 +abortion (634-638 with .6, 639.6)
 +ectopic or molar pregnancy (639.6)
 +pregnancy, childbirth, or the puerperium (673.0-673.8)
glossary/pulmonary_embolism.txt · Last modified: 2012/10/16 14:40 (external edit)