A 36-year-old woman presents with pleuritic chest pain and dyspnoea. Her Wells score for PE is 5 (PE likely). CTPA cannot be performed within 4 hours....

Question

A 36-year-old woman presents with pleuritic chest pain and dyspnoea. Her Wells score for PE is 5 (PE likely). CTPA cannot be performed within 4 hours. What is the best immediate action?

Accepted Answer

Start therapeutic anticoagulation and arrange CTPA within 24 hours

Answer

Await D-dimer before starting any treatment

Answer

Request a V/Q scan and no anticoagulation until result

Answer

Discharge with safety-netting for CTPA tomorrow

Answer

Give aspirin and schedule outpatient CTPA

ukmla MCQ (SBA): Pulmonary embolism

A 36-year-old woman presents with pleuritic chest pain and dyspnoea. Her Wells score for PE is 5 (PE likely). CTPA cannot be performed within 4 hours. What is the best immediate action?