Snapshot A 34 year-old female, gravida 1, para 1, presents to the emergency department with progressive shortness of breath and pleuritic chest pain. One week ago, she underwent an uncomplicated Cesarean delivery of a healthy 4000 g male (8 lbs and 13 oz) with Apgar scores 9 and 10 at 1 and 5 minutes. Her symptoms started last night as she went to bed, and she decided to present this morning due to worsening of her symptoms. Her past medical history and family history are unremarkable. She takes only a multivitamin daily. Her temperature is 98.6°F (37°C), blood pressure 138/80, pulse is 110/min, respirations are 26/min, and oxygen saturation is 87% on room air. A CT angiogram of the chest is performed, revealing filling defects in the pulmonary vasculature. She is immediately started on supplementation oxygen and intravenous heparin. (Pulmonary embolism) Introduction Overview login to view 2 more bullets Epidemiology Incidence login to view 3 more bullets Demographics login to view 2 more bullets Risk factors login to view 8 more bullets ETIOLOGY Pathogenesis login to view 4 more bullets Presentation History login to view 1 more bullet Symptoms login to view 6 more bullets Physical exam login to view 3 more bullets Imaging Compression ultrasonography of proximal veins login to view 3 more bullets Chest radiography login to view 2 more bullets V/Q scan login to view 4 more bullets Chest CT angiography login to view 2 more bullets Studies D-dimer login to view 2 more bullets Differential Pregnancy login to view 3 more bullets Peripartum cardiomyopathy login to view 3 more bullets Septic pelvic thrombophlebitis login to view 2 more bullets Treatment Management approach login to view 1 more bullet Medical login to view 9 more bullets Surgical login to view 6 more bullets Complications Superficial thrombophlebitis Recurrent pulmonary embolism Prognosis 25% of DVT progress to PE in untreated women