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Doctor insights on: Lung Ventilation Perfusion Scan

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What person needs a lung ventilation/perfusion scan?

What person needs a lung ventilation/perfusion scan?

: Folks with a suspicion for blood clot in the lung. This may be due to spells of breathlessness or chest pain or both. More common if there is blood clots in the leg (phlebitis). ...Read more

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Lung (Definition)

Deoxygenated blood enters the lungs from the right side of the heart and travels to the lungs. When you inspire, oxygen flows into the lungs, transverses the capilliares and attaches to hemoglobin down a gradient. At the same time, co2 diffuses into the capilaries and is expelled with exhalation. Oxygen rich blood then flows to the left side of the heart and into the ...Read more


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What does blood clot in the lungs (pulmonary embolus) show on ventilation perfusion scan?

What does blood clot in the lungs (pulmonary embolus) show on ventilation perfusion scan?

Lack of blood flow: A ventilation perfusion scan is a test for a blood clot in the lungs, or pulmonary embolism. If there is a blood clot, an area of the lung will not be perfused, but will be ventilated, and therefore a mismatch will be seen. ...Read more

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Treating a Collapsed Lung (Checklist)

Go to the ER for x-rays and initial treatment
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Use high flow oxygen
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Which procedure does a lung perfusion scan involve?

Which procedure does a lung perfusion scan involve?

Inject radioactive: A perfusion lung scan is done by injectecting a low-dose radioactive tracer into a vein and taking images showing where blood flow is going in the lungs. It is used to diagnose pulmonary embolism (blood clot to the lungs). The test is safe and generally free of any side effects. It is used less often now than ct angiogram, but is safer and involves less radiation exposure. ...Read more

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What are the side effects of lung perfusion scan?

What are the side effects of lung perfusion scan?

Usually none: The dose of radioactivity given is small, and the test is considered safe and harmless. If a woman is pregnant, the use of any radioactive material must be carefully weighed as to potential benefits vs risks to the fetus. ...Read more

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Treating a Lung Nodule (Checklist)

Recognize that most nodules are benign scars, not malignant
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Remember to obtain any previous images possibly showing nodule
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Research whether it's best to follow the nodule or to biopsy it
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What are the differences between pulmonary perfusion scan and pulmonary ventilation scan?

Lung V-Q scan: Ventilation scanning involves the patient breathing in a radiotracer while perfusion scanning involves injecting the radiotracer through an iv. The procedure is done usually to evaluate the presence of absence of a pulmonary embolism (usually a blood clot) and involves comparing the radiotracer's presence in the alveoli vs. Its presence in the lung circulation. ...Read more

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Why would a pulmonary ventilation/perfusion scan be performed?

Pulmonary Embolism: The main reason to perform a pulmonary ventilation-perfusion (v-q) scan is to rule out the presence of a pulmonary embolus (commonly a blood clot). There are several forms of pulmonary thrombo-embolism, but the most common situation is one of sudden onset, leading to sob. Chronic thrombo-embolism leads to development of sob over a long period and it can also be diagnosed with a v-q scan. ...Read more

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What is a ventilation-perfusion scan?

What is a ventilation-perfusion scan?

Radiological test: A ventilation-perfusion (v/q) scan is a specialized radiological lung test comparing mismatches between any part of your lung that still exchanges oxygen (affected in COPD e.g.) and any part that is not receiving blood flow. This is done through radio-tracers. A mismatch means there is a clot in that part of the lung hindering blood flow. Diseases & surgery of the lung complicate interpretation. ...Read more

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Breathing (Definition)

Breathing is the way we take in oxygen and expel carbon dioxide (co2) through out lungs. When our lungs expand we take fresh air in that contains oxygen and then when our lungs ...Read more


Perfusion (Definition)

Perfusion usually refers to blood flow into an ...Read more