Hello. I'm Dr. Phil, licensed and practicing internist. Excellent service is my goal.
Hi I"m Dr. Phil
Can I ask your first name?
Nice to meet you
Did you have a CAT scan of the chest?
They were ultrasound scans
I would recommend a CAT scan of the chest
This is the best test to make sure we aren't dealing with something else like a blood clot
what will this show that is different from the other scans, I was told there was no pneumothorax as I had to have an xray before I could fly
It will show a blood clot in the lung
injuries like this create a high risk environment for clots
Can you get a blood clot after 4 weeks would there not have been more symptons
yes, you can
usually the clot forms in the leg, waits there and boom travels to the lung
would the blood clot not naturally disperse
that's not how they work
if they are large enough they get trapped in the lung
i didnt damage my legs at all so why would a clot form there
because of the injury
a traumatic injury creates inflammation which makes clot more likely
so it wont heal by time, what are the procedures
the test is a CAT scan with contrast. treatment is blood thinners
when I'm sitting breathing is normal , I just get breathless when doing something like walking upstairs
What if my doctor doesn't recommend a CAT scan, should I go to A&E
yes I would
could it be anything else, I've read about flail chest, or would there be more pain with that?
they would see that on ultrasound
ok thank you, XXXXX XXXXX try and get a CAT scan
you're welcome :)
Did I do excellent work for you today?
are there any long term effects with this if it is a blood clot
no, it will be treated for 3-6 months with thinners then you are good
ok great thanks
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