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Patients with suspected DVT should initially undergo a pretest probability Wells score. Depending on pretest probability Wells score they should then either proceed to two-point ultrasound scanning or D-dimer testing. Likewise, patients suspected of PE should undergo a two-level PE Wells score, and, if scored likely, a computed tomography pulmonary angiogram (CTPA), or, if there is a low pretest probability score, D-dimer testing. If positive, patients should undergo CTPA. Ventilation perfusion scanning (V\/Q scan) or V\/Q SPECT should be considered in place of CTPA if there is allergy to contrast media or renal impairment. <\/jats:p>","DOI":"10.1258\/phleb.2012.012s35","type":"journal-article","created":{"date-parts":[[2012,3,28]],"date-time":"2012-03-28T09:12:42Z","timestamp":1332925962000},"page":"43-52","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":16,"title":["Diagnostic tests and strategies in venous thromboembolism"],"prefix":"10.1177","volume":"27","author":[{"given":"A M S","family":"Tenna","sequence":"first","affiliation":[{"name":"Northern Vascular Centre, Freeman Hospital, Newcastle-upon-Tyne, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S","family":"Kappadath","sequence":"additional","affiliation":[{"name":"Northern Vascular Centre, Freeman Hospital, Newcastle-upon-Tyne, 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