📅 DUE DATE CALCULATOR Enter LMP to calculate EDD 🔢 CALCULATE DUE DATE Last Menstrual Period (LMP) * First day of your last menstrual period Calculate Clear Jan Feb Mar Apr May Jun Jul Aug 📆 Due Date — 🕒 Gestational Age — ...
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Evaluation of Dyspnea and Management of Pulmonary Embolism after Surgery
The differential diagnosis for dyspnea after gynecologic surgery includes atelectasis, pneumonia, and pulmonary thromboembolism (PTE). Clinically significant atelectasis has a low incidence after gynecologic surgery. It usually results from shallow breathing due to postoperative pain and immobility. Incentive spirometry and early ambulation should be encouraged. Pneumonia should be considered in patients with dyspnea and clinical signs of infection including fever, leukocytosis, and purulent sputum. Evaluation includes a chest radiograph to investigate for an infiltrate. Management of pneumonia includes antibiotics. Acute PTE has various presentations depending on the size and location of the thrombus. Despite perioperative prevention strategies based on risk stratification, thromboembolic events still occur, and dyspnea accompanied by tachycardia, hypoxia, pleuritic chest pain, hemoptysis, and/or cough are the most common symptoms. Hemodynami...
