Graber and Wilbur's Family Medicine Examination &Board Review, 4e >Pulmonology

Jason K. Wilbur, Mark A. Graber, Brigit E. Ray+

TABLE 3-3WELL'S SCORE FOR PE a

Clinically suspected DVT 3 points

No alternative diagnosis more likely than PE 3 points

Tachycardia >100 1.5 points

Immobilization for ≥3 days or surgery in the previous 4 weeks 1.5 points

History of DVT or PE 1.5 points

Malignancy within 6 months 1 point

Presence of hemoptysis 1 point

Score >6: high probability of PE (78%)

Score 2–6: moderate probability of PE (27.8%)
Score <2: low probability of PE (<3.4%).
a
d-dimer is only useful to rule out the low probability patient. Otherwise, the post-test probability with a normal d-dimer does not change enough to get you to a low enough risk to rule out a PE.

Date of download: 01/12/23 from AccessMedicine: accessmedicine.mhmedical.com, Copyright © McGraw Hill. All rights reserved.