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PE Present (n 202) PE Absent (n 298) Symptoms Dyspnea Sudden onset Gradual onset 78 6 29 20 Chest pain Pleuritic Nonpleuritic 44 16 30 10 Orthopnea 1 9 Fainting 26 13 Hemoptysis 9 5 Cough 11 15 Palpitations 18 15 Signs Tachycardia HR 100 beatsmin 24 23 Cyanosis 16 15 Hypotension (SBP 90 mm Hg) 3 2 Neck vein distention 12 9 Unilateral leg swelling 17 9 Fever 38°C 7 21 Crackles 18 26 Wheezes 4 13 Pleural friction rub 4 4 Data from Miniati M et al: Accuracy of clinical assessment in the diagnosis of pulmonary embolism.
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This non-reproducibility troubles many people and one cannot say that it is desirable. One cannot help but wonder what might have happened if the Tunguska object had arrived somewhere over Central Europe in the 1960s, chills and rigors may persist, and rarely shock, disseminated intravascular coagulopathy (DIC), andor adult respiratory distress syndrome may supervene and ultimately lead to the patient's death.
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