Question

A 71-year-old with suspected PE has Wells score 7.5 (high probability). What is the next best step?

Accepted Answer

CT pulmonary angiography without delay; consider empiric anticoagulation if unstable

Answer

Obtain D-dimer; if negative, PE excluded

Answer

V/Q scan for all high probability patients

Answer

No imaging needed; start anticoagulation only

Answer

Discharge with outpatient ultrasound

Practice question

A 71-year-old with suspected PE has Wells score 7.5 (high probability). What is the next best step?