A 29-year-old female presents to the emergency department with chest pain and shortness of breath that started last night.

The pain is located on her right anterior chest.

She describes it as sharp and stabbing, and it's worse when she takes a deep breath.

The EKG done in triage shows that she's got a sinus rhythm with a rate of 114, no signs of

eschemia. She appears anxious and when you ask her about it she says she's got a history of panic attacks in the past.

She denies cough, you are I symptoms, back pain, fever, leg swelling.

There's been no recent travel, no prolonged immobilization, but she does take birth control pills.

How comfortable do you feel managing this patient? Today we're going to discuss pulmonary embolism. Hello and welcome back to the med geeks podcast everybody my name is Eric

thank you for joining today we're talking about a big one.

P.E.s. can be sneaky. Classically someone will come in and they feel short of breath

or they have chest pain and it's kind of like obviously going to go on your radar in that case.

But a lot of times, not so much.

Sometimes patients have very subtle symptoms or none at all.

And for that reason, it's always been a bit of a diagnostic challenge for me and I think others as well.

For Pee's we have a lot of diagnostic decision-making tools at our disposal such as the

Wells criteria, the Perk Criteria.

We got D D-D-D-D-D-D-Miser to help us out sometimes

or make our life miserable sometimes,

depending on how you look at it.

We're going to talk about these tools

and we are going to figure out the best way to use them.

And at the end of the show, we will answer a question

...