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Revised Geneva Score for PE

Pretest probability for PE with no gestalt criterion — every item is objective, which is exactly its advantage and its cost.

Low probability
Geneva 0–3 · ~8% PE prevalence
Check D-dimer — if negative, PE excluded
Note ~8% is NOT negligible — a low Geneva still needs a D-dimer
0pts
Heart rate
Age >65 years
Previous DVT or PE
Surgery or lower limb fracture within 1 month
Active malignancy (solid or haematologic, active or within 1 year)
Unilateral lower limb pain
Hemoptysis
Pain on lower limb deep palpation AND unilateral edema
Le Gal G, et al. 2006 · Fully objective — no gestalt criterion, which is why it is more reproducible than Wells but discriminates less well at the low end (~8% PE prevalence at 'low' vs ~1.3% for Wells). A low Geneva still warrants a D-dimer.