6th July 2026

A 40-year-old woman who has just come off a long-haul flight presents with pleuritic chest pain, haemoptysis, and left sided leg swelling and tenderness.

A 40-year-old woman who has just come off a long-haul flight presents with pleuritic chest pain, haemoptysis, and left sided leg swelling and tenderness. On examination, she appears to be struggling for breath. She has right sided crackles and normal air entry bilaterally. She reports pain on inspiration and coughing up blood. Her observations are as follows:

HR: 110
RR: 23
Blood pressure: 100/85
SpO2: 88% on room air
Temperature: 37.4

 Which of the following would contribute the most points to her Wells score?

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