Question

A 41-year-old man presents with pleuritic chest pain and dyspnoea. Pulse 110, haemoptysis, previous DVT. Wells score suggests PE 'likely'. What is the next best investigation?

Accepted Answer

CT pulmonary angiography (CTPA) immediately

Answer

D-dimer first

Answer

Ventilation-perfusion scan first-line

Answer

Lower-limb ultrasound

Answer

Echocardiogram

Practice question

A 41-year-old man presents with pleuritic chest pain and dyspnoea. Pulse 110, haemoptysis, previous DVT. Wells score suggests PE 'likely'. What is the next best investigation?