Question

A 53-year-old patient with suspected PE is intermediate risk by Wells. D-dimer is elevated. Next best step?

Accepted Answer

CT pulmonary angiography

Answer

No imaging because D-dimer is nonspecific

Answer

Start anticoagulation only and defer imaging in all cases

Answer

Lower-extremity ultrasound only

Answer

V/Q scan in all regardless of CXR

Practice question

A 53-year-old patient with suspected PE is intermediate risk by Wells. D-dimer is elevated. Next best step?