6th July 2026

A 47-year-old male presents with pleuritic chest pain, sudden shortness of breath, and palpitations.

A 47-year-old male presents with pleuritic chest pain, sudden shortness of breath, and palpitations. The patient knows he had some swelling and erythema in his right calf for a few days. He has a past medical history of type II diabetes and anxiety.  His observations are: HR: 153, RR: 24, SpO2: 87%, BP: 84/60. You believe this patient has a PE. Given his Wells score and presentation, what should your next management step be?

Select the SINGLE most appropriate option from the list below. Select ONE option only.