Question

A 48-year-old woman presents with pleuritic chest pain and dyspnoea after a long-haul flight. Her Wells score suggests an intermediate probability of pulmonary embolism. She is haemodynamically stable and has normal renal function. What is the most appropriate next investigation?

Accepted Answer

CT pulmonary angiography

Answer

D-dimer assay only

Answer

Ventilation-perfusion scan without prior CT

Answer

Echocardiogram

Answer

Lower limb venous Doppler ultrasound only

Practice question

A 48-year-old woman presents with pleuritic chest pain and dyspnoea after a long-haul flight. Her Wells score suggests an intermediate probability of pulmonary embolism. She is haemodynamically stable and has normal renal function. What is the most appropriate next investigation?