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Pulmonary Embolism — RACP Paediatrics MCQ

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HardRespiratoryPulmonary EmbolismRACP Paediatrics

A 16-year-old girl presents with pleuritic chest pain, tachycardia, tachypnoea 6 weeks after starting the combined OCP. She has a swollen left calf. D-dimer is elevated. What is the most likely diagnosis?

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Correct answer: D — Pulmonary embolism

Pleuritic chest pain with tachycardia, DVT signs, elevated D-dimer, and OCP use is highly concerning for pulmonary embolism.

Reference: RCH Melbourne – 2024 – Clinical Practice Guidelines: Venous Thromboembolism