A pre-hospital team attends a 60-year-old male with a history of atrial fibrillation who presents with sudden onset of severe left leg pain. On examin...

Question

A pre-hospital team attends a 60-year-old male with a history of atrial fibrillation who presents with sudden onset of severe left leg pain. On examination, the left leg is white, cold, and pulseless below the femoral pulse. The right leg is normal. What is the Wells score used for in this context?

Accepted Answer

The Wells score is NOT used for acute limb ischaemia - it is a clinical prediction score for deep vein thrombosis and pulmonary embolism; acute arterial ischaemia is diagnosed clinically using the 6Ps

Answer

The Wells score diagnoses acute arterial ischaemia

Answer

The Wells score is used for all vascular emergencies

Answer

The Wells score predicts the need for amputation

Answer

The Wells score differentiates arterial from venous occlusion

uk-dipimc MCQ (SBA): Wells Score - Appropriate Use

A pre-hospital team attends a 60-year-old male with a history of atrial fibrillation who presents with sudden onset of severe left leg pain. On examination, the left leg is white, cold, and pulseless below the femoral pulse. The right leg is normal. What is the Wells score used for in this context?