Question

A 48 year old woman presents with pleuritic chest pain and dyspnoea. She has a recent history of immobilisation after ankle surgery. Clinical assessment suggests intermediate possibility of pulmonary embolism. Which of the following is the most appropriate initial diagnostic investigation?

Accepted Answer

CT pulmonary angiography

Answer

D dimer only

Answer

Ventilation perfusion scan for all patients

Answer

Lower limb venous ultrasound only

Answer

Transthoracic echocardiogram

Practice question

A 48 year old woman presents with pleuritic chest pain and dyspnoea. She has a recent history of immobilisation after ankle surgery. Clinical assessment suggests intermediate possibility of pulmonary embolism. Which of the following is the most appropriate initial diagnostic investigation?