In this observational cohort of 247 trauma patients who underwent both CTA (pulmonary arteries) and CTV (pelvic/leg veins), of the 46 with PE, only 7 (15%) also had a DVT. Possible explanations include complete embolism, insensitivity of CTV, upper extremity source, or de novo pulmonary artery thrombus. Regardless, a high percentage of trauma patients with PE will have no detectable DVT (abstract).
Dr. Scheurer is a clinical hospitalist and the Medical Director of Quality and Safety at the Medical University of South Carolina in Charleston, South Carolina, and is Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She also serves as the Web Editor and Physician Advisor for the Society of Hospital Medicine.