A 42-year-old low-risk ED patient with pleuritic chest pain has PERC = 0 and clinician-estimated pretest probability ~8%. What is the best next step?...

Question

A 42-year-old low-risk ED patient with pleuritic chest pain has PERC = 0 and clinician-estimated pretest probability ~8%. What is the best next step?

Accepted Answer

No further testing for PE

Answer

Order CT pulmonary angiography

Answer

Order D-dimer

Answer

Start empiric anticoagulation

Answer

V/Q scan

us-abem MCQ (SBA): Pulmonary Embolism (Rule-out)