A 62 year old man presents with acute pleuritic chest pain and shortness of breath. He is haemodynamically stable. His Wells score for pulmonary embol...

Question

A 62 year old man presents with acute pleuritic chest pain and shortness of breath. He is haemodynamically stable. His Wells score for pulmonary embolism is low and D dimer is negative. What is the most appropriate next step?

Accepted Answer

Reassure and seek an alternative diagnosis

Answer

Arrange immediate CT pulmonary angiography

Answer

Start therapeutic anticoagulation and arrange CT pulmonary angiography

Answer

Admit for observation without further tests

Answer

Request a ventilation perfusion scan urgently

uk-plab-1 MCQ (SBA): Pulmonary embolism exclusion

A 62 year old man presents with acute pleuritic chest pain and shortness of breath. He is haemodynamically stable. His Wells score for pulmonary embolism is low and D dimer is negative. What is the most appropriate next step?