Wells score

Question 1

wells score for

Answer 1

assesin risk of dvt and pe

Question 2

1 points for…

Answer 2

active cancer
paralysis/ paresis
recent bedridden / major surgery
localised tenderness
entire leg swollen
unilateral calf swelling > 3cm compared to other leg
pitting oedema
collateral veins

Question 3

minus 2 points for

Answer 3

alternative diagnosis

Question 4

interperatiion

Answer 4

> 3 = high risk
1-2- moderate
0< low

Question 5

test for high risk

Answer 5

doppler us within 4 hours

Question 6

test for moderate

Answer 6

consider doppler and d dimmer

Question 7

tets for low risk

Answer 7

d dimer

Question 8

what if high risk negative with us

Answer 8

consider d dimer

Question 9

what if a ultrasound cannot be performed within 4 hours

Answer 9

d dimer done and nterim therapeutic anticoagulation

Question 10

if scan is negative but d dimer positive

Answer 10

stop interim anticoags but repeat us in 6-8 days after

Question 11

if dvt unliekly with 1 scor

Answer 11

do dimer within 4 hours and if not 4 hours then give interim anticoags