Question

A 24-year-old man with pleuritic chest pain and dyspnoea is low clinical probability for PE by Wells and meets all Pulmonary Embolism Rule-out Criteria (PERC). Next best step?

Accepted Answer

Discharge without further PE testing

Answer

Order CT pulmonary angiography

Answer

Order fixed D-dimer cut-off (500 ng/mL)

Answer

Start empiric anticoagulation pending imaging

Answer

Order leg venous duplex before discharge

Practice question

A 24-year-old man with pleuritic chest pain and dyspnoea is low clinical probability for PE by Wells and meets all Pulmonary Embolism Rule-out Criteria (PERC). Next best step?