Document Detail


A Patient With a Large Pulmonary Saddle Embolus Eluding Both Clinical Gestalt and Validated Decision Rules.
MedLine Citation:
PMID:  22153968     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
We report a patient with chest pain who was classified as having low risk for pulmonary embolism with clinical gestalt and accepted clinical decision rules. An inadvertently ordered D-dimer and abnormal result, however, led to the identification of a large saddle embolus. This case illustrates the fallibility of even well-validated decision aids and that an embolism missed by these tools is not necessarily low risk or indicative of a low clot burden.
Authors:
Adam Hennessey; Devy A Setyono; Wayne Bond Lau; Jason Matthew Fields
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-12-8
Journal Detail:
Title:  Annals of emergency medicine     Volume:  -     ISSN:  1097-6760     ISO Abbreviation:  -     Publication Date:  2011 Dec 
Date Detail:
Created Date:  2011-12-13     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8002646     Medline TA:  Ann Emerg Med     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2011. Published by Mosby, Inc.
Affiliation:
Thomas Jefferson University Hospital, Department of Emergency Medicine, Philadelphia, PA.
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