Just another negative DVT?

Department of A&E Medicine, Frimley Park Hospital, Camberley, UK.
Case Reports 09/2013; 2013. DOI: 10.1136/bcr-2013-200360
Source: PubMed


A 69-year-old woman presented to the emergency department (ED) with a swollen left thigh and leg. D-dimer test was positive, a radiology department ultrasound showed no direct evidence of a deep venous thrombosis but a lack of respiratory modulation was seen. ED ultrasound showed large groin lymph nodes and this, together with low haemoglobin, prompted a CT scan which led to the diagnosis of metastatic carcinoma.

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