In general a negative D-dimer rules out DVT/PE, however in cases where the pretest probability is high it becomes hard to interpret. Best going forward would be to establish with a vascular surgeon that can escalate testing if clinical suspicion for acute DVT remains high. History as far as previous DVT’s is critical in this context.
Answered 10/21/2022
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Yes. A negative D-dimer is good test to rule out DVT. Lack of visualization of peroneal veins may be a developmental anomaly.
Answered 11/6/2022
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