Question

A 45-year-old woman presents with pleuritic chest pain and dyspnoea 2 days after long-haul flight. Wells score suggests PE is likely. What is the next best step?

Accepted Answer

CT pulmonary angiography (CTPA) immediately

Answer

Order D-dimer only

Answer

Start LMWH and review in 48 hours without imaging

Answer

Ventilation-perfusion (V/Q) scan in all cases

Answer

Discharge if oxygen saturation normal

Practice question

A 45-year-old woman presents with pleuritic chest pain and dyspnoea 2 days after long-haul flight. Wells score suggests PE is likely. What is the next best step?