Question

A 48-year-old woman presents with sudden onset shortness of breath and pleuritic chest pain, 5 days after a total abdominal hysterectomy. Her Wells score for PE is 6 (Likely). She is haemodynamically stable. What is the most appropriate immediate management?

Accepted Answer

Arrange immediate CT Pulmonary Angiogram (CTPA) and start interim anticoagulation

Answer

D-dimer testing

Answer

Arrange V/Q scan and start interim anticoagulation

Answer

Start treatment dose LMWH and manage as outpatient

Answer

Thrombolysis (e.g., Alteplase)

Practice question

A 48-year-old woman presents with sudden onset shortness of breath and pleuritic chest pain, 5 days after a total abdominal hysterectomy. Her Wells score for PE is 6 (Likely). She is haemodynamically stable. What is the most appropriate immediate management?