Question

A 45‑year‑old low‑risk patient with pleuritic chest pain and normal vitals has pretest probability for PE estimated as low; all PERC criteria are satisfied. Next step?

Accepted Answer

No further testing for PE is required

Answer

Order CT pulmonary angiography

Answer

Order D‑dimer test

Answer

Begin therapeutic anticoagulation empirically

Answer

Order V/Q scan

Practice question

A 45‑year‑old low‑risk patient with pleuritic chest pain and normal vitals has pretest probability for PE estimated as low; all PERC criteria are satisfied. Next step?