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Wells Score ની ગણતરી કેવી રીતે કરવી

Wells Score શું છે?

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

પગલું દ્વારા પગલું માર્ગદર્શિકા

  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

ઇનપુટ
Sudden dyspnea +3, HR 110 +1.5, no leg signs, CXR normal
પરિણામ
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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