Guest guest Posted August 31, 2012 Report Share Posted August 31, 2012 My case of the week.....50y/o Caucasian female donates blood then later that day while with her daughter at a burger joint (she was NOT eating there she assured me) she felt lightheaded and nauseous and laid her head down on a table and lost consciousness. Event witness. Was told she was out for 2-5 min. Did drive self and duaghter home but later went to ER. EKG and CXR nml.CMP with sodium of 133 and BUN of 26.Hgb of 10elevated d-dimer.Was given a lab slip for an outside lab and told to follow up with PCP. Repeat labs showed nml sodium and BUN and a hgb of 10.3....d-dimer not available for several days.Patient complaining of feeling exhausted but not light headed also is short of breath vs easily winded if walking. Sent of CT angiogram. No PE.D-dimer eventually comes back....now nml???Saw patient on Wed.....exactly one week post. Still feels very tired although better.Repeat labs (3rd lab involved as I do not trust the 2nd lab she went to)...shows nml CMP. Hgb 10. 6 and elevated d-dimer.Apparently has a h/o borderline anemia...cannot always give blood. Has elevated chol. Mild overweight. Still menstruating.Thoughts???coronary vs malignancy work up?Love the collective brain!Dannielle Quote Link to comment Share on other sites More sharing options...
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