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CASE REPORTS
JOURNAL ARTICLE
A patient with a large pulmonary saddle embolus eluding both clinical gestalt and validated decision rules.
Annals of Emergency Medicine 2012 June
We report a patient with chest pain who was classified as having low risk for pulmonary embolism with clinical gestalt and accepted clinical decision rules. An inadvertently ordered D-dimer and abnormal result, however, led to the identification of a large saddle embolus. This case illustrates the fallibility of even well-validated decision aids and that an embolism missed by these tools is not necessarily low risk or indicative of a low clot burden.
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