I’m 67, had episodes of severe dyspnea with & without obvious ecg changes (6 lead kardia mobile), Factor 5 Leiden heterzygous, non smoker, family hx DVTs….I had 2 seperate elevated DDimers… asked PCP, cardiologist and functional med docs what’s up… completely ignored. This is common & over a lifetime has happened more often than not. Instead of pushing it I just said screw it. I was too exhausted from being sick from what we now know was kidney cancer. And people wonder why patients research & plan their own (google) care- we’re afraid no one will listen 😮
I always struggle to decide in which patients I should suspect PE. How can I rule PE out of my differential for patients who come in with chest pain (however atypical it may sound)? In patients older than 50, Even if I find a perfectly normal vitals, abg, ecg, cardiac ultrasound, compressive ultrasound, thoracic ultrasound, I still will ask for a d-dimer, cause I can't be sure they don't have PE. And in old comorbid patients it often is >1000, unfortunately.
Superb lecture! Thanks a lot 😊
Very informative and honest video. Tnx.
I’m 67, had episodes of severe dyspnea with & without obvious ecg changes (6 lead kardia mobile), Factor 5 Leiden heterzygous, non smoker, family hx DVTs….I had 2 seperate elevated DDimers… asked PCP, cardiologist and functional med docs what’s up… completely ignored. This is common & over a lifetime has happened more often than not. Instead of pushing it I just said screw it. I was too exhausted from being sick from what we now know was kidney cancer. And people wonder why patients research & plan their own (google) care- we’re afraid no one will listen 😮
I always struggle to decide in which patients I should suspect PE. How can I rule PE out of my differential for patients who come in with chest pain (however atypical it may sound)? In patients older than 50, Even if I find a perfectly normal vitals, abg, ecg, cardiac ultrasound, compressive ultrasound, thoracic ultrasound, I still will ask for a d-dimer, cause I can't be sure they don't have PE. And in old comorbid patients it often is >1000, unfortunately.
true 😊