Question

A 45-year-old woman has pleuritic chest pain and dyspnoea. HR 112, recent calf swelling, no haemoptysis, no cancer. Clinical probability by Wells score is likely. What is the next best investigation?

Accepted Answer

CT pulmonary angiography

Answer

D-dimer

Answer

Ventilation-perfusion scan

Answer

Lower limb venous ultrasound only

Answer

Treat empirically with LMWH and review in a week without imaging

Practice question

A 45-year-old woman has pleuritic chest pain and dyspnoea. HR 112, recent calf swelling, no haemoptysis, no cancer. Clinical probability by Wells score is likely. What is the next best investigation?