Question

A 37‑year‑old low‑risk patient has pleuritic chest pain and HR 102/min (otherwise PERC negative). What is the next step?

Accepted Answer

Obtain D‑dimer (standard cut‑off) because PERC is not met

Answer

Rule out PE with PERC and stop

Answer

Age‑adjusted D‑dimer (≥50 years only)

Answer

CT pulmonary angiography immediately

Answer

Start empiric anticoagulation

Practice question

A 37‑year‑old low‑risk patient has pleuritic chest pain and HR 102/min (otherwise PERC negative). What is the next step?