1. Tachycardia, hemoptysis, and PE most likely
Emergency clinicianBackground
A patient has a heart rate of 110 beats per minute, hemoptysis, and no reported DVT signs, recent immobilization, previous VTE, or active malignancy. PE is considered the most likely diagnosis.
Problem
Calculate the Wells score and review both supported interpretations.
How to use
Select PE as the most likely diagnosis, heart rate above 100, and hemoptysis. Leave the other criteria unselected.
Outcome
The total is 5.5. The three-tier result is moderate, while the two-tier result is PE likely, with imaging required according to the tool description.