Leonard Sadoff, MD
To the Editors: In their recent review on diagnosing pulmonary embolism, Kelley and colleagues (1) fail to address a crucial point: In which patients do we suspect pulmonary embolism? The protean manifestations of this "Great Imitator" are often overlooked by the busy clinician; and even if the diagnostic accuracy of a test approaches 100%, it is not useful if it is not ordered in the appropriate clinical settings.
Syncope, transient confusion, seizures, transient anxiety, and unexplained tachycardia are but a few of the signs and symptoms of pulmonary embolism that often are not recognized. How many clinicians train themselves to
Sadoff L. Pulmonary Embolism: Suspicion and Tests. Ann Intern Med. ;114:808. doi: 10.7326/0003-4819-114-9-808_1
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Published: Ann Intern Med. 1991;114(9):808.
Emergency Medicine, Pulmonary Embolism, Pulmonary/Critical Care, Venous Thromboembolism.
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