Question

A 45-year-old woman with suspected pulmonary embolism (PE) has a Wells score of 5 (PE likely). What is the next best step if imaging can be obtained within 4 hours?

Accepted Answer

CT pulmonary angiography within 4 hours

Answer

Start low-molecular-weight heparin and discharge

Answer

D-dimer test then await result

Answer

V/Q scan within 24-48 hours without anticoagulation

Answer

Oral anticoagulation only if D-dimer positive

Practice question

A 45-year-old woman with suspected pulmonary embolism (PE) has a Wells score of 5 (PE likely). What is the next best step if imaging can be obtained within 4 hours?