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Medicine Respiratory system a44b9657

True statement about pulmonary embolism

A
Prompt heparin therapy will dissolve thrombi
B
Known risk factors include gastric cancer, AIDS
C
Most patients manifest dyspnea, pain, hemoptysis
D
Free floating iliofemoral thrombi are an indication for a caval filter
High-Yield Explanation
Unfractionated Heparin UFH anticoagulates by binding to and accelerating the activity of antithrombin, thus preventing additional thrombus formation. UFH is dosed to achieve a target activated paial thromboplastin time (aPTT) of 60-80 s. The two principal indications for inseion of an IVC filter are (1) active bleeding that precludes anticoagulation and (2) recurrent venous thrombosis despite intensive anticoagulation. Ref Davidson edition23rd pg 620

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