8.You are seeing Mrs. Jennet Maxwell,32year old primigravida, who works as a teacher. She conceived after IVF, is at26 weeks of gestation, and has presented with breathing difficulty for which GP has referred her to scan.
Her pregnancy was a low risk pregnancy.
ALL scans and blood tests have been normal so far.
Her pre-pregnancy weight is 60 kg. Her BMI IS 26.
She is on multivitamins. On examination no signs and symptoms of Deep vein thrombosis is seen.
Her compression duplex ultrasound on leg is normal, so chest X-ray was performed with abdominal shield. It is abnormal. So she is advised to undergo CTPAas there is high suspicion of pulmonary embolism. During counselling she asks her lifetime increase in risk of breast cancer with CTPA