Question

A 30-year-old presents with pleuritic chest pain and dyspnea. Vitals are normal; SpO₂ 99% on room air. Pretest probability for PE is low, and all PERC criteria are negative. What is the next best step?

Accepted Answer

No further testing is required

Answer

Order a D-dimer

Answer

Obtain CT pulmonary angiography

Answer

Order a ventilation-perfusion scan

Answer

Start empiric anticoagulation

Practice question

A 30-year-old presents with pleuritic chest pain and dyspnea. Vitals are normal; SpO₂ 99% on room air. Pretest probability for PE is low, and all PERC criteria are negative. What is the next best step?