If you suspect a pulmonary embolism not ask d-dimer
After 30 hours, and 4 guards in the last week (a matter of chance), it may be a bit risky to make this entry without having gone to bed, and the state pseudoinfeccioso where I am, but as I am under the disinhibition syndrome outgoing resident on call, here I come. I venture to give my opinion on a condition one of the specialties that I disliked always pulmonology. As my devotion was not holy, I just pick which messages sponge some of the large shed in my training, here I have to appoint Juanmi of AMIR, major culprit of this entry and that I stayed with things I thought could ever ultilidad SERM.
For brevity, I want to go to sleep, and eat something I summarize by saying that in cases of high suspicion of PE, a non-elevated d-dimer does not exclude the possibility, because although their negative predictive value approaching 100% in cases low suspicion, if clinical suspicion is high SEPAR says, they are the guys who understand this, and I quote: "'In patients with high clinical probability of negative
DD not exclude pulmonary embolism, so it is useful to determine
(grade B recommendation)"
And for those who want to deepen the topic:
http://www.separ.es/doc/publicaciones/normativa/normativa_035.pdf
Goodnight.
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