Diagnosis on the spotFree in the app
Breathless or chest pain
Pulmonary embolism until proven otherwise.
Source: RCOG GTG 37bThink
| Pulmonary embolism | Pleuritic pain, tachycardia, hypoxia — start LMWH while awaiting imaging. |
|---|---|
| Peripartum cardiomyopathy | Late pregnancy/postpartum heart failure — echo. |
| Amniotic fluid embolism | Sudden collapse in labour. |
| Sepsis / pneumonia | Fever, crackles. |
| Pulmonary oedema | Pre-eclampsia, fluid overload, tocolytics. |
| Aortic dissection / MI | Tearing pain, unequal pulses — rare but deadly. |
No D-dimer or Wells score in pregnancy. Leg symptoms: compression duplex first.
A summary for trained clinicians. Always check the full guideline, the patient in front of you and your hospital's protocol. Spotted an error? Tell us.