Question

A 28-year-old with suspected PE has Wells score 4.5 (intermediate). D-dimer is 0.62 μg/mL (age 28). What is the next step?

Accepted Answer

CT pulmonary angiography

Answer

Apply age-adjusted D-dimer and stop workup

Answer

No testing (PERC negative)

Answer

V/Q scan only if renal failure

Answer

Empiric anticoagulation without imaging

Practice question

A 28-year-old with suspected PE has Wells score 4.5 (intermediate). D-dimer is 0.62 μg/mL (age 28). What is the next step?