Blood Test Results

[EcclesCake]

Can anyone interpret this for me "DDIMER-1183".

Thank you.

[anneasquith]

My only knowledge with D Dimer was blood sample to exclude pulmonary embolism NHS choices site would give you information .

[Sqad]

Not my area of expertise, but for what it is worth.
DDIMER is a non specific test i.e it cannot diagnosis any condition but can exclude any disease that is a big deal, if the values are within normal limits.

If the levels are raised it means that "something is going on."

Normal values depend upon the Lab involved but i think that 1183 (if nanogmns) is high....something is going on.

If slaney sees this thread, her opinion would be valuable.

[EcclesCake]

Thank you both.

[Sqad]

I have been giving this further thought and have come to the conclusion that 1183 has nothing to do with the blood values, it just signifies the type of protein tested......it is either there (+) or it isn't(-).
So you need to give us further information as to whether it was present or it wasn't.

[EcclesCake]

An anti coagulant was administered (heparin) and an ultrasound found no clots.

[EcclesCake]

500 is considered normal at my clinic so 1183 is high, I guess.

[Sqad]

Right. Pity slaney hasn't seen yr post as she is a retired Consultant Haemotologist and would give you the answer.

[slaney]

As ever isolated laboratory tests can be difficult to interpret without full clinical details and symptoms.
A high D-Dimer might suggest DVT/PE, but there are other causes.
I presume thrombosis has been excluded by duplex ultrasound, and or CT chest with contrast.
If there is a strong suspicion the ultrasound may need to be repeated in one week - all depends on something called the Wells score.

D-dimer can be raised in infection, and other conditions.

*Anecdote alert*
When I was in hospital three Christmases ago with pneumonia, someone was unwise enough to do a d-Dimer which was of course raised because of the infection. I had considerable difficulty to persuade them I had not got a PE as well.
To add insult to injury the anticoagulant referral form I was given had my name on the top even though I had been retired some years.

[EcclesCake]

Slaney, could you expand on the Wells score please?

[EcclesCake]

No worries, have Googled.

Thanks for your comments.