my d dimer level was 278 ng/ml. is that considered extremely high or within normal ranges. thanks so much. had other normal tests done?

Question

Hi! I have a question about my d dimer levels. It was 278 ng/ml. Is that high? Had other tests that were normal. Ct of lungs, echo, chest xray and cbc

Answer 1

Need more context: By itself, d-dimer isn't that useful. It's a marker for breakdown of clotting factors, so elevated levels imply a clot somewhere. Humans are always producing and eliminating small clots, especially in connection with menstruation, so an elevated d-dimer can have multiple reasons. Need further information on why the test was ordered, etc.

Answer 2

Close to normal: D-dimer goes up with so many things that it is more important in ruling out blood clots if it is low. Your level is just above the normal of 250 and by itself not a cause for concern. See this site for more info. http://www.mayomedicallaboratories.com/test-catalog/clinical+and+interpretive/9290.

Answer 3

Yes: If he seems otherwise fine, it is ok. However, after ~1 hour you should rouse him to be sure that he can reach a normal level of alertness.

Answer 4

Yes: This obviously depends on the seriousness of the fall, and what happens afterwards. If the child falls 1 ft onto carpet, and looks fine, then yes. If the child falls 12 stairs onto hardwood or cement, then a thorough monitoring period or check in the ED is required. If there is no loss of consciousness, and the child is consolable, looks ok for a couple hours, and behaves normally, then yes.

Answer 5

No: If a baby has a "serious" fall, it is not "safe" to let him fall asleep without an evaluation. Realize that it is impossible to not allow a baby to fall asleep. Trying to keep a baby awake will create a strange behavior (the baby will be tired, fussy, and sleep-deprived). The important thing is to get the baby to the hospital er so the doctors can evaluate for injuries from the "serious" fall.

Answer 6

Yes: After a serious fall, your child should be examined by a medical professional. If they determine that there is no brain injury then allowing your child to sleep soundly through the night is no problem.

Answer 7

Autopsy: The main test on the baby is an autopsy to look for birth defects or other causes for the death. The placenta is examined and cultures done. The mother may have tests for viruses and other infections, diabetes, thyroid or bleeding problems. Even with all these tests it's not unusual to not find an answer.

Answer 8

See below: If indicated the fetus and placenta can be sent for genetic testing to see if something untoward occurred.

Answer 9

TST: Are you referring to a tuberculin skin test? Has the student been vaccinated? Vaccinations will cause false positives. Exposure to TB can cause false +. After a positive tst, the student should have a chest x-ray. If cxr is negative, chest x-rays should be used in lieu of skin tests every 2 years.

Answer 10

See a doctor: Anyone with a positive test for TB should see a doctor or public health clinic and get a plan for either treatment or surveillance. Do not let this wait.

Answer 11

Hemochromatosis: Are you sure you have the disease? Have you researched all the options and truly been diagnosed. If so, you have to understand that many people are carriers of certain genes without actually having the disease. The genes they pass on can then become active if they have a child with another carrier for that genetic disease. Sadly, disease has to start somewhere...Maybe u r the 1st in ur family.

Answer 12

Recessive genetics: Hereditary hemochromatosis is a recessive genetic disease - you have to inherit two mutations, one in each of your two hfe genes, to develop this condition. Your parents would be carriers but completely unaffected. What's more, only 10-15% of folks with two mutations ever get sick. The american hemochromatosis society (http://www.Americanhs.Org/) has more information.

Answer 13

More alcohol: Well yeah, if you drink more alcohol, expect to be more hungover. Other factors include hydration, food eaten , amount of sleep, other factors in the drinks.

my d dimer level was 278 ng/ml. is that considered extremely high or within normal ranges. thanks so much. had other normal tests done?

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