Pleuritic Chest Pain

Pleuritic Chest Pain
PERC negative if
Age < 50
HR < 100
O2 Sat >94%
No h/o DVT/PE?
No trauma/surgery
No hemoptysis
No estrogen
No clinical DVT
—-
Neg means < 2% chance of PE

Wells Score
No better dx = 3
Clinical DVT = 3
HR>100 = 1.5
Immob/surg = 1.5
(past month)
Prior PE/DVT = 1.5
Malignancy = 1
hemoptysis = 1
—-
2-6 points, mod risk 16.5%
7 points, high risk 37.5%

[ ] EKG
[ ] CXR
[ ] D-dimer?
[ ] cbc chem 10 LFTs coags
[ ] bedside card U/S
[ ] trop, BNP
[ ] CTA

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