Question

A 46-year-old woman presents with pleuritic chest pain and shortness of breath. She is tachycardic but normotensive. Her Wells score for pulmonary embolism is 5. There are no contraindications to contrast. What is the most appropriate next investigation?

Accepted Answer

CT pulmonary angiography

Answer

D-dimer assay only

Answer

Ventilation–perfusion scan as first-line

Answer

Lower limb Doppler ultrasound only

Answer

No imaging and start aspirin

Practice question

A 46-year-old woman presents with pleuritic chest pain and shortness of breath. She is tachycardic but normotensive. Her Wells score for pulmonary embolism is 5. There are no contraindications to contrast. What is the most appropriate next investigation?