A 32-year-old presents with pleuritic chest pain and dyspnoea. Wells score suggests 'PE unlikely'. D-dimer is positive. Next best step?...

Question

A 32-year-old presents with pleuritic chest pain and dyspnoea. Wells score suggests 'PE unlikely'. D-dimer is positive. Next best step?

Accepted Answer

Order CT pulmonary angiography

Answer

Start therapeutic LMWH immediately

Answer

Order V/Q scan regardless of CTPA availability

Answer

Discharge with safety-netting

Answer

Repeat D-dimer in 24 hours

ukmla MCQ (SBA): Pulmonary Embolism