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Wells score estimates pulmonary embolism (PE) probability based on clinical findings. It helps guide diagnostic testing decisions.

Водич корак по корак

  1. 1Assign points for clinical features: leg swelling, HR >100, respiration >20, hemoptysis, signs of DVT, etc.
  2. 2Calculate total score
  3. 3Score 0-1 (low), 2-6 (intermediate), or 7+ (high) PE probability

Worked Examples

Инпут
Sudden dyspnea +3, HR 110 +1.5, no leg signs, CXR normal
Резултат
Wells ≈ 4.5 (intermediate risk)
Consider D-dimer

Common Mistakes to Avoid

  • Applying score in patients already hospitalized for other reasons
  • Neglecting clinical context when interpreting score

Frequently Asked Questions

When should Wells score be used?

For non-hospitalized patients with suspected PE. It combines clinical judgment with objective criteria.

What if Wells score is intermediate?

Order D-dimer testing; negative D-dimer essentially excludes PE at this risk level.

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