Question

A 44-year-old woman with suspected DVT (calf swelling, Wells score 3) and no haemodynamic compromise. What is the recommended diagnostic approach?

Accepted Answer

Proximal leg ultrasound scan within 4 hours; give interim anticoagulation if scan delayed >4 hours

Answer

D-dimer first; if positive, stop there

Answer

CT pulmonary angiography

Answer

Start warfarin without imaging

Answer

Wait 48 hours then scan

Practice question

A 44-year-old woman with suspected DVT (calf swelling, Wells score 3) and no haemodynamic compromise. What is the recommended diagnostic approach?