A 55-year-old patient presents with sudden onset of shortness of breath and pleuritic chest pain. As part of the clinical decision making process, a physical therapist considers the Wells Score to assess the probability of pulmonary embolism. Which of the following findings would increase the Wells Score, indicating a higher clinical suspicion for pulmonary embolism?

1. Wheezing during physical activity
2. Bilateral lower extremity swelling
3. Heart rate of 115 beats per minute
4. Productive cough with green sputum

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