Work up of elevated d dimer
[DOCX File]Transtutors
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Three cases had prothrombin activity (PTA) of
[DOCX File]EndNote X5 - [Fichier EP au 17-03-28_minusduplolder1998]
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Normal = 3.5 – 5.5 L/min/m2 CI = CO/Body surface area Left Cardiac Work Index. Normal = 4.0 ( 0.4 kg – m/m2 CI x MAP x 0.0136 Left Ventricular Stroke Work Index. Normal = 56 ( 6 gm – m/m2 SI x MAP x 0.0136 Right Cardiac Work Index. Normal = 0.5 ( 0.06 kg –m/m2 CI x MPAP x 0.0136 Right Ventricular Stroke Work Index
[DOCX File]Evidence Search ServiceResults of your search request
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The median time from admission to DIC was 4 days (range, 1-12 days). Levels of fibrin-related markers (D-dimer and FDP) were moderately or markedly elevated in all patients who died suggesting they had coagulation activation and secondary hyperfibrinolysis. In another study with 201 patients, 84 patients developed ARDS.
[DOC File]Submitting a CTA application
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DON’T indiscriminately order D-dimers. Decision making in PE. First step- Gestalt (“gut feeling”) ... - if negative D-dimer- no further testing, if positive- CTPA. ... CT Aorta with contrast, TEE if dye allergy or creatinine elevated, cardiac MRI.
[DOCX File]EM Basic | Your Boot Camp Guide to Emergency Medicine
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Dunn KL, Wolf JP, Dorfman DM, Fitzpatrick P, Baker JL, Goldhaber SZ. Normal D-dimer levels in emergency department patients suspected of acute pulmonary embolism. J. Am. Coll. Cardiol. 2002;40(8):1475-1478. Durieux P, Dhote R, Meyniard O, Spaulding C, Luchon L, Toulon P. D-dimer testing as the initial test for suspected pulmonary embolism.
[DOC File]Pulmonary
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Conduct appropriate work up of COPD exacerbation and COPD staging. ... Several studies may be indicated to exclude other diagnoses: d-dimer (with subsequent chest CT angiography if positive) in patients felt to be at risk for PE or in non-responders to standard treatment. ... Obtaining a newly elevated BNP may suggest a component of congestive ...
D-Dimer - Health Encyclopedia - University of Rochester Medical C…
Thus, D-dimer is not a necessary test in this case. (2) If evaluation is delayed or symptoms worsen, begin IV heparin drip 5000 units loading dose followed by. 1000 units/hr until definitive evaluation is complete. (3) Consider chest X-ray to evaluate for pneumonia if PE work-up is negative and symptoms persist or worsen. 3. AKI, likely. pre ...
[DOC File]PEDIATRIC CARE GUIDE
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CBC with markedly decreased platelet count, peripheral blood smear showed decreased number of platelets and presence of large platelets and fragmented red cells (schistocytes), prothrombin time prolonged as was the partial thromboplastin time. The d-dimer was markedly elevated, and fibrinogen level was low. The diagnosis of
[DOCX File]Introduction - USAFP
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Only for low risk patients! Very sensitive for PE (95%) but false positives as high as 50-70%- causes a lot of unnecessary testing if ordered indiscriminately. D-dimer also increases with pregnancy to the point where it really isn’t useful
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Many experts agree that in patients where there is low clinical suspicion, a D-dimer
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