Case #17
Prior Probability of Pulmonary Embolism?:
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Historical Data Favoring Pulmonary Embolism
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Impressive episodes of shortness of breath
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Oral contraceptive pills
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Historical Data Against Pulmonary Embolism
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Young, 31 years old
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Previously healthy
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No personal or family history significant for a clotting disorder
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Negative D-dimer (<500)
Although the history of shortness of breath and chest discomfort is impressive,
pulmonary embolism is unlikely in a 31 year old previously healthy woman
with no history of clotting disorder.
Lung Scintigraphy
| Perfusion Scintigraphy |
Perfusion and Ventilation |
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J. Anthony Parker, MD PhD, Tony_Parker@bidmc.harvard.edu