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The Rational Clinical Examination
David L. Simel, Drummond Rennie
Pulmonary Embolus
Sanjeev Chunilal, Ginsberg Jeff, Phil Wells
Clinical Scenario


Topics Discussed: pulmonary embolism

Excerpt: "A 25-year-old woman presents to the emergency department with pleuritic chest pain, having just returned home after a 12-hour plane flight. She is taking no medications, other than an oral contraceptive pill. Her clinical examination reveals coryza without tachypnea, and the remainder of the examination results are unremarkable. A pregnancy test result is negative and a chest radiograph result is normal. A D-dimer test shows a positive result...."
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