10 results for “d-dimer testing”
56y · Male·pulmonary thromboembolism due to left deep vein thrombosis
…e exacerbated by chronic lung disease and obesity but did not consider PE as a differential diagnosis. No D-dimer was ordered. The coroner found that application of standardised PE evaluation criteria (Wells score and P…
31y · Male·Pulmonary thromboembolism arising from deep vein thrombosis
…eteriorated rapidly in hospital and died despite thrombolytic therapy. The coroner found that preliminary testing (D-dimer or ultrasound) for DVT in December would likely have been diagnostic and allowed anticoagulation…
72y · Male·ischaemic heart disease secondary to coronary artery disease
…e changes. Clinicians pursued a pulmonary embolus diagnosis based on pleuritic-sounding pain and positive d-dimer, commencing anticoagulation. CTPA was negative and he was discharged with plans for outpatient cardiology…
58y · Male·Pulmonary thromboembolism complicating right calf deep venous thrombosis
…ether the Wells score was applied. If it was applied (with a score of zero), clinical guidelines required D-dimer testing; this test would likely have been positive and led to further imaging, potentially identifying th…
59y · Male·Pulmonary embolus
A 59-year-old man with obesity, smoking history, hypertension, and hypercholesterolaemia presented to the ED with two days of acute onset shortness of breath. The registrar diagnosed COPD based on normal vitals, clinical…
Philip Byrne: pulmonary thromboembolism due to right calf deep vein thrombosis; …
…ey lessons: DVT cannot be reliably excluded clinically; calf pain without clear trauma warrants objective testing; recent long-haul travel is a critical risk factor; Wells Score System has limitations in community pract…
35y · Female·aortic dissection with associated acute aortitis
…nd the receiving ED team initiated appropriate chest pain investigation including troponin, ECG, CTPA and D-dimer testing. However, she suffered a rare Type A aortic dissection with acute aortitis, an extremely uncommon…
46y · Female·pulmonary thromboembolism due to bilateral deep calf vein thrombosis
A 46-year-old woman with schizo-affective disorder died from pulmonary thromboembolism secondary to bilateral deep vein thrombosis five days after involuntary psychiatric admission. She was severely withdrawn, refusing f…
77y · Female·Pulmonary thromboembolism secondary to deep vein thrombosis of the left leg
…h thrombophilia presenting with dyspnoea and chest pain; anticoagulation status should be verified by INR testing rather than accepting patient report; ECG is mandatory in chest pain presentations; risk stratification t…
81y · Female·Cardiac tamponade secondary to dissection of ascending aorta
An 81-year-old woman with hypertension and hypercholesterolaemia presented to the ED with sudden-onset central chest pain radiating to the jaw. Despite appropriate initial assessment and ruling out acute coronary syndrom…
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