Acute Disorders

Question 1

Wells Score DVT

Answer 1

Interpretation
•Score >2.0 —High (probability 53%])
•Score 1.0 to 2.0 —Moderate (probability 17%)
•Score <2.0 —Low (probability 5%)

• D-Dimer may be used in either case to rule in/out DVT
• Moderate to High risk a vascular ultrasound is indicated

Question 2

Wells Score PE

Answer 2

Interpretation
•Score >6.0 —High (probability 59%])
•Score 2.0 to 6.0 —Moderate (probability 29%)
•Score <2.0 —Low (probability 15%)•Score > 4 —PE likely. Consider diagnostic imaging.
•Score 4 or less —PE unlikely. Consider D-dimer to rule out PE