• Ann Emerg Med · Jun 2012

    Case Reports

    A patient with a large pulmonary saddle embolus eluding both clinical gestalt and validated decision rules.

    • Adam Hennessey, Devy A Setyono, Wayne Bond Lau, and Jason Matthew Fields.
    • Thomas Jefferson University Hospital, Department of Emergency Medicine, Philadelphia, PA, USA. ahennessey@gmail.com
    • Ann Emerg Med. 2012 Jun 1;59(6):521-3.

    AbstractWe 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.Copyright © 2011. Published by Mosby, Inc.

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