Question

A 36-year-old with pleuritic chest pain and dyspnea is low risk for PE (Wells low). Vitals normal, no DVT signs. Which strategy can avoid further testing?

Accepted Answer

Use PERC to exclude PE without D-dimer

Answer

Perform CT pulmonary angiography on all suspected cases

Answer

Order D-dimer for all low-risk patients

Answer

Empirically anticoagulate and observe

Answer

Order V/Q scan in all low-risk cases

Practice question

A 36-year-old with pleuritic chest pain and dyspnea is low risk for PE (Wells low). Vitals normal, no DVT signs. Which strategy can avoid further testing?