A 62-year-old man presents to the emergency department with pleuritic chest pain and dyspnoea 24 hours after a long-haul flight. He has tachycardia an...

Question

A 62-year-old man presents to the emergency department with pleuritic chest pain and dyspnoea 24 hours after a long-haul flight. He has tachycardia and mild hypoxia. His Wells score for PE is 7 (PE likely). What is the most appropriate next step?

Accepted Answer

Start therapeutic LMWH (or DOAC) and arrange immediate CTPA imaging

Answer

Arrange D-dimer testing and await results before treatment

Answer

Discharge with safety-netting and arrange outpatient CTPA

Answer

Start prophylactic-dose LMWH and review in 24 hours

Answer

Order a V/Q scan and await results without anticoagulation

uk-plab-1 MCQ (SBA): Suspected pulmonary embolism

A 62-year-old man presents to the emergency department with pleuritic chest pain and dyspnoea 24 hours after a long-haul flight. He has tachycardia and mild hypoxia. His Wells score for PE is 7 (PE likely). What is the most appropriate next step?