A 62-year-old man presents with pleuritic chest pain and dyspnoea. He has a swollen, tender left calf after a long-haul flight. His Wells score for pu...

Question

A 62-year-old man presents with pleuritic chest pain and dyspnoea. He has a swollen, tender left calf after a long-haul flight. His Wells score for pulmonary embolism is high. According to Australian VTE guidelines, what is the most appropriate initial management?

Accepted Answer

Commence therapeutic low molecular weight heparin or DOAC while arranging urgent confirmatory imaging

Answer

Arrange D-dimer testing and discharge while awaiting results

Answer

Delay anticoagulation until CT pulmonary angiogram is reported

Answer

Start low-dose aspirin while awaiting imaging

Answer

Begin prophylactic-dose low molecular weight heparin only

au-amc MCQ (SBA): Pulmonary embolism

A 62-year-old man presents with pleuritic chest pain and dyspnoea. He has a swollen, tender left calf after a long-haul flight. His Wells score for pulmonary embolism is high. According to Australian VTE guidelines, what is the most appropriate initial management?