Question

A 23-year-old man presents with pleuritic chest pain and dyspnoea. His Wells score for pulmonary embolism is 1.5 (low probability), and D-dimer is normal. According to VTE diagnostic algorithms, what is the best next step?

Accepted Answer

Discharge without imaging and no anticoagulation

Answer

Proceed directly to CT pulmonary angiography

Answer

Order ventilation-perfusion scan

Answer

Start therapeutic anticoagulation immediately

Answer

Admit for observation and serial CT scans

Practice question

A 23-year-old man presents with pleuritic chest pain and dyspnoea. His Wells score for pulmonary embolism is 1.5 (low probability), and D-dimer is normal. According to VTE diagnostic algorithms, what is the best next step?