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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What does a blood work report of a 5 year old showing increase D dimmer level indicate?

Answered by
Dr.
Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 6564 Questions

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Posted on Mon, 10 Sep 2018 in Hypertension and Heart Disease
Question: Can you tell me what this test means? I am sending a report.
doctor
Answered by Dr. Ilir Sharka 51 minutes later
Brief Answer:
I would explain as follows:

Detailed Answer:
Hi!

I reviewed your reports and would explain that it indicates elevated levels of D-dimer.

You should know that these values should be correlated with the clinical symptoms of the patient.

A negative value ( less than 0.5) would help to definitely exclude pulmonary embolism.

A high value does not confirm pulmonary embolism, as it could be related to different possible causes ( inflammation, surgery, liver disease, a trauma, etc.).

So, this increased value does not indicate any specific disorder.

For this reason, it may be necessary performing further tests based on your symptoms.

I remain at your disposal for any further questions!

Kind regards,

Dr.Iliri

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Ilir Sharka 1 hour later
Thank you so much for opinion. Blood work was done and it was normal. Heart is normal. What tests should I have done?
doctor
Answered by Dr. Ilir Sharka 22 minutes later
Brief Answer:
My opinion as follows:

Detailed Answer:
Hi again!

I would like to know if you have had a stroke recently?

That could explain such values of D dimmer.

What are your actual complaints? Why did you do this test?

I would like to know more about you, in order to give a more professional opinion!

Let me know about everything!

Awaiting response.
Take care,
Dr. Iliri
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Ilir Sharka 11 minutes later
It was my daughter she is 5 and had a stroke during labor and delivery. I will send you some more blood work and records to review.
doctor
Answered by Dr. Ilir Sharka 16 minutes later
Brief Answer:
My answer as follows:

Detailed Answer:
Hi again!

What are her actual complaints?

Why did the pediatrician prescribe this test? D Dimmer is not a very sensitive test for children.

Values of D dimmer above 6 have been reported in children with pulmonary embolism, but there are not any normal reference range for children (the reference levels are usually established for adults).

Anyway, I don't think that these values are related to the stroke during labor, as it has been such a long time!

I remain at your disposal. I would be glad to review other tests as soon as you will be able to upload them.

Wishing good health,

Dr. Iliri
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ilir Sharka 47 hours later
Thank you so much. We love her pediatrician and I will ask him. I sent some more records. My daughter is hospitalized every month for over hour seizures and has all kinds of tests ran on her including blood and they always come back normal. Never ever has the heart been a concern.
doctor
Answered by Dr. Ilir Sharka 1 hour later
Brief Answer:
My opionin as follows:

Detailed Answer:
Hi!

I passed carefully through your uploaded tests and the brain MRI.

The increased levels of D dimmer could be related to persistent seizures and brain damage or hypoxia.

Trauma during a seizure may lead to increased D dimmer levels.

You should discuss with her pediatrician on the above issues.

Hope you will find this answer helpful!

Wishing good health,

Dr. Iliri
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Ilir Sharka 4 hours later
Can a vsd clear within a day?
doctor
Answered by Dr. Ilir Sharka 2 hours later
Brief Answer:
I would explain:

Detailed Answer:
Hi!

A vsd is a congenital heart disorder and could not be disappeared in a short period of time, even when it is very small and localized in the muscular portion of inter-ventricular septum. It may be so hardly visible, that sometimes may lack from one cardiac ultrasound exam to the other.

When vsd is quite small, giving only tiny shunts (blood jets) between ventricles, they may be closed spontaneously while the septal muscular portion increases with the child growth until the young adult age.

Nevertheless, whet is important is a careful evaluation and follow up by means of cardiac ultrasound.

Hope to have been helpful to you!

Regards,
Dr. Iliri
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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