Question

A 29-year-old woman presents to ED with pleuritic chest pain and dyspnoea. Wells score for PE is 5. No haemodynamic instability. Pregnancy test negative. According to NICE, what is the immediate next step?

Accepted Answer

Start apixaban and arrange CTPA

Answer

Wait for D-dimer before treatment

Answer

Discharge with safety-netting and arrange outpatient scan

Answer

Start aspirin and arrange CTPA

Answer

Immediate thrombolysis

Practice question

A 29-year-old woman presents to ED with pleuritic chest pain and dyspnoea. Wells score for PE is 5. No haemodynamic instability. Pregnancy test negative. According to NICE, what is the immediate next step?