Deep Vein Thrombosis in a Patient with Negative Age-Adjusted D-Dimer Level

被引：2

作者：

Sheth, Monish A. ^{[1
,2
]}

机构：

[1] Baylor Coll Med, Baylor Scott & White Med Ctr, Temple, TX USA

[2] Baylor Coll Med, Baylor Scott & White Med Ctr, 2401 S 31st St, Temple, TX 76508 USA

来源：

ANNALS OF GERIATRIC MEDICINE AND RESEARCH | 2023年 / 27卷 / 04期

关键词：

Venous thrombosis; Fibrin fragment D; Ultrasonography; Doppler; DIAGNOSIS;

D O I：

10.4235/agmr.23.0110

中图分类号：

R592 [老年病学]; C [社会科学总论];

学科分类号：

03 ; 0303 ; 100203 ;

摘要：

D-dimer level, along with a clinical probability tool that uses the Wells score, is commonly used to exclude deep vein thrombosis (DVT). Age-adjusted D-dimer values are routinely used in clinical practice to increase the negative predictive value and avoid unnecessary Doppler ultrasound imaging. We describe a patient with a low pre-test probability of DVT upon admission and a negative D-dimer level based on age-adjusted values who was later diagnosed with DVT. Our experiences with this case highlight that the geriatric population is unique and, at times, frail.

引用

页码：353 / 357

页数：5

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