Pulmonary embolism 

Clot in the lung 

sx: pleuritic chest pain, sob @@@

Trop T rise 

S1Q3T3 on ECG 

D - dimer - don't order in acute phase 

 CTPA - caution in patient with chronic kidney disease for risk of contrast induced nephopathy 

Prophylaxis 

Clexane OD dose - 40mg OD 

Treatment dose BD 

1.5mg / kg / day