Wells Flashcards
1
Q
3 points
A
Clinical signs/syptoms of DVT
No alternative diagnosis more likely than PE
2
Q
1.5 points
A
Tachycardia
HR>100
3
Q
1.5 points
A
Immobile for at least 3 days
Major surgery in last month
4
Q
1.5 points
A
Previous PE or DVT
5
Q
1 point
A
Haemoptysis
6
Q
1 point
A
Active malignancy
7
Q
Score less than 4
A
D-dimer
Lowd d-dimer excludes PE
Raised D-dimer indication for CTPA or V/Q scan
8
Q
Score more than 4
A
CTPA or V/Q scan
Interim Low molecular weight heparin if PE is likely (especially if CTPA is delayed)