A patient with confirmed pulmonary embolism is haemodynamically stable, has a low score on a validated PE mortality tool and has reliable home support...

Question

A patient with confirmed pulmonary embolism is haemodynamically stable, has a low score on a validated PE mortality tool and has reliable home support. There is no bleeding contraindication and oral anticoagulation can start. Which disposition may be considered?

Accepted Answer

Start outpatient anticoagulation with an agreed follow-up plan

Answer

Start inpatient heparin until repeat imaging shows clot regression

Answer

Start outpatient prophylactic LMWH pending specialist review

Answer

Defer anticoagulation during 48 hours of inpatient observation

Answer

Insert a retrievable IVC filter before outpatient anticoagulation

Venous Thromboembolism — MRCP Part 1 MCQ

A patient with confirmed pulmonary embolism is haemodynamically stable, has a low score on a validated PE mortality tool and has reliable home support. There is no bleeding contraindication and oral anticoagulation can start. Which disposition may be considered?