Template:Wells Score: Difference between revisions

Revision as of 23:12, 20 June 2019

Clinical Features	Points
Symptoms of DVT (leg swelling and pain with palpation)	3.0
PE as likely as or more likely than an alternative diagnosis	3.0
HR >100 bpm	1.5
Immobilization for >3 consecutive days or surgery in the previous 4 weeks	1.5
Previous DVT or PE	1.5
Hemoptysis	1.0
Malignancy (receiving treatment, treatment stopped within 6 mon, palliative care)	1.0

Score 0-4 = PE Unlikely (12.1% incidence of PE)
- Check D-dimer
  - If D-dimer positive then obtain CTPA or V/Q scan
  - If D-dimer negative, no further workup needed (0.5% incidence of PE at 3 month follow up)
Score >4 = PE Likely (37.1% incidence of PE)
- Obtain CT Pulmonary Angiography or V/Q Scan

@@ Line 19: / Line 19: @@
 |}
-=====Two Tier Wells Criteria<ref>van Belle A et al. Effectiveness of managing suspected pulmonary embolism using an algorithm combining clinical probability, D-dimer testing, and computed tomography. JAMA. 2006;295(2):172-179. doi:10.1001/jama.295.2.172</ref>=====
+=====Two Tier Wells Criteria=====
 *Score 0-4 = PE Unlikely (12.1% incidence of PE)
 **Check [[D-dimer]]