PE and DVT: Diagnosis and Initial Management

PE and DVT: Diagnosis and Initial Management

  • Dr. Mashael Altowairqi — Haematologist and Thrombosis Specialist at Ad Diriya Hospital, Riyadh, Saudi Arabia

Internal Medicine · Haematology

Pulmonary embolism (PE) and deep vein thrombosis (DVT) are manifestations of venous thromboembolism that require timely recognition and appropriate management. Clinical assessment should consider risk factors, presenting symptoms, haemodynamic status and the likelihood of thromboembolic disease. Diagnostic evaluation may include clinical prediction tools, D-dimer testing, compression ultrasonography and CT pulmonary angiography, depending on the suspected condition. Initial management focuses on assessing clinical stability, initiating anticoagulation when indicated and identifying patients who may require advanced interventions. Risk stratification, careful monitoring and individualised treatment decisions are essential to reducing complications and improving patient outcomes.