NEGATIVE D-DIMER PULMONARY THROMBOEMBOLISM - A CASE REPORT

  • Dr. K. Thulasi Kumar 2nd year MEM Resident Department of emergency medicine BGS Global Hospital India
  • Dr. Mohammed Shabbir P. Head of the Department Department of emergency medicine BGS Global Hospital India
  • Dr. Samir Mohammed Consultant Department of emergency medicine, BGS Global Hospital India
Keywords: sudden onset of breathing difficulty, DVT, PE, D-dimer, CT PA angiogram, Thrombolysis

Abstract

A 42 years old male diagnosed case of right lower limb DVT presented to the emergency department with the h/o sudden onset of breathing difficulty for 4hrs. He was hemodynamically stable. Wells score for DVT was 4 (high risk) &for PE was 9 (high risk). ECG showed T3 & decreased R wave progression in V3-V6. CXR showed straightening of Left heart border. 2D ECHO showed RA, RV dilated, with PASP 50 mm Hg. D-DIMER NEGATIVE. CT PA angiogram showed thrombus in Right& peri- segmental bronchus on Left. The patient was thrombolyzed with Tenecteplase. The patient was hemodynamically stable before & after thrombolysis. As per the PESI (Pulmonary Embolism Severity Index), the patient comes under class 1 with a very low 30-day mortality risk (1-6%).

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How to Cite
1.
K. TK, P. MS, Mohammed S. NEGATIVE D-DIMER PULMONARY THROMBOEMBOLISM - A CASE REPORT. Med. res. chronicles [Internet]. 2015Jan.26 [cited 2024Dec.23];2(1):51-5. Available from: https://medrech.com/index.php/medrech/article/view/49
Section
Case Report